June 28, 2023
Case Management Monthly

CMS introduced the inpatient-only list in 2001 to ensure patients who undergo complex, high-risk surgical procedures receive postoperative monitoring services in an inpatient setting.

June 21, 2023
Case Management Monthly

Review these tips for setting up an internal preauthorization process at your facility to save time and money.

June 7, 2023
Case Management Monthly

Research has shown that high drug costs can have a substantial effect on patient care. Learn how these costs can impact skilled nursing facility (SNF) admissions.

May 31, 2023
Case Management Monthly

Joanna, a case manager, provides support to a 19-year-old subway accident victim.

May 24, 2023
Case Management Monthly

The Office of Management and Budget recently approved new versions of the Important Message from Medicare, Detailed Notice of Discharge, and Medicare Outpatient Observation Notice.

May 17, 2023
Case Management Monthly

An increasing number of rural communities are turning to paramedicine programs to check on patients and catch their health problems before they require a trip to the emergency department.

May 10, 2023
Case Management Monthly

Ronald Hirsch, MD, FACP, CHCQM, CHRI, vice president of the Regulations and Education Group at R1 RCM Inc. Physician Advisory Solutions, answers questions on the Medicare Outpatient Observation Notice (MOON) and 2-midnight rule.

May 3, 2023
Case Management Monthly

One of the biggest changes that will take place when the COVID-19 public health emergency ends on May 11 is the reintroduction of the three-day stay skilled nursing facility (SNF) requirement.

April 26, 2023
Case Management Monthly

A 93-year-old patient has been in the hospital for 90 days when Ann, a complex case manager, is asked to step in and offer additional support.

April 26, 2023
Case Management Monthly

On May 11, the COVID-19 public health emergency is expected to end after three years. However, not everyone is adequately prepared to comply with a return to previous rules, regulations, and practices.

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