Not only do case managers have a role to play when inmates are treated at their facilities, but they can also help former prisoners get ready to reenter society.
Patients who require nutrition support after discharge can be at risk for readmission if their condition isn't managed carefully. They may experience complications from underfeeding, dehydration, and electrolyte imbalances, says Noreen Luszcz, RD, MBA, CNSC, Walgreens Infusion Services (WIS) nutrition program director.
At the Association of Clinical Documentation Improvement Specialists (ACDIS), questions on physician queries are never few and far between. Although AHIMA has published a couple briefs on the topic over the last decade, questions have still remained about how to implement a compliant and effective query process.
Successful appeals can actually lead to CMS policy changes. Facilities have been successfully appealing to receive Part B payments after a Medicare review contractor denied a Part A stay as not medically necessary. As a result, CMS is changing its policy on rebilling for Part B services.
