Case Management

Read this Q&A to learn more about CMS' proposed minimum staffing requirements.

After identifying areas of concern related to missing or inaccurate information on discharge paperwork, CMS is encouraging surveyors to keep an eye out for documentation gaffes.

William, 65, is admitted to the ICU with a flare-up of his chronic pulmonary fibrosis.

Certification is the “gold standard” of one’s profession. Learn about the Commission for Case Management Certification's credentialing process.

Case managers working with medically fragile children may have gotten a boost from a recent court case.

Use these expert tips to help your organization prevent social admissions.

The 2024 Inpatient Prospective Payment System (IPPS) final rule, released August 1, contains some good news for hospitals related to potential payment for certain social determinants of health.

Kelly, a cardiac case manager, must coordinate a patient's discharge and difficult transfer plan.

As case managers review the medical record and interview the patient, family, and medical team, they must dig deep and ask hard questions to ensure any unforeseen financial or medical needs are met.

Every facility wants to prevent denials. But in this short-staffed era, it can be difficult to consistently ensure that claims are accurate.