Efforts to educate medical staff members on Medicare or other payer policies can be like herding cats. However, it is necessary to ensure compliance. The case management department cannot improve level of care decisions without cooperation from medical staff members.
The ACMA has received a document from CMS that answers questions that ACMA members posed to the agency about delivering the Important Message from Medicare (IM).
We received more than 700 responses to the 2011 Case Management Monthly Salary Surveyfrom RN case managers (51%), case management directors (23%), case management managers/supervisors (16%), and social work (SW) case managers from all over the country.
When Nancy Herr, RN, BSN, CCM, manager of utilization review at Liberty (MO) Hospital, started seeing an uptick in RAC audits late in 2010, she knew she needed a way to track activity and share it with others in her facility.
HHS' OCR in February began using the new fine structure mandated by HITECH and handed one of the country's most prestigious hospitals, Massachusetts General Hospital (MGH) in Boston, a $1 million penalty for a breach violation.
