A case manager learns that a soon-to-be discharged patient’s electricity has been turned off for nonpayment and makes arrangements to have the bill paid and power restored. While this is clearly important to the patient’s health, it is also an example of how case managers may be unintentionally violating the law.
CMS recently released an interim final rule called Requirements Related to Surprise Billing; Part II, which builds on the No Surprises Act. It aims to prevent patients from shouldering the financial burden related to unexpected out-of-network costs.
A community-based palliative care and hospice case manager works on a unique case that highlights the rewarding contributions she can make for patients and their families.
CMS finalizing plans to remove the inpatient-only list, only to propose a reversal less than a year later, has introduced challenges for case managers.
In December 2020, CMS announced that it would begin a Review Choice Demonstration (RCD) for inpatient rehabilitation facility (IRF) services. The goal: to improve detection and identification of Medicare fraud related to these services.
Nonprofit hospitals are falling short when it comes to completing community needs assessments required under the Patient Protection and Affordable Care Act, according to an August research letter published by JAMA Network Open.
Case managers are charged with helping patients to navigate multiple challenges. But sometimes, their own preconceived notions may creep into care interactions and become a barrier.
Nonprofit hospitals are falling short when it comes to completing community needs assessments required under the Patient Protection and Affordable Care Act, according to an August research letter published by JAMA Network Open.
Anna, a case manager who practices in a pulmonologist’s office, manages adult high-risk asthmatic patient care. The office serves more than 2,000 patients, which Anna learns is the upper range of average. She recently learned that the American Association for Physician Leadership believes that a physician’s office can successfully handle a volume of 3,000 patients.
