April 9, 2019
News & Insights

The American Medical Association (AMA) and UnitedHealthcare announced a collaboration to better address social determinants of health (SDoH) by standardizing how this data is collected and processed through the creation of new ICD-10 codes related to SDoH.

April 5, 2019
Case Management Monthly

Only about half of hospital leaders and physician practice leaders think they are very or extremely effective when it comes to managing the chronic care needs of patients, and less than half think the same of their efforts to prevent hospital readmissions, according to a recent survey.

April 3, 2019
News & Insights

Q: When patients transfer to long-term care or skilled nursing facilities, they have basic information with them, but what questions should those facilities ask to make sure they have all the information they need to provide care?

March 29, 2019
Case Management Monthly

A case manager at a community hospital has a cancer patient who comes to the emergency department and requires hospitalization. The patient wants to transfer to the hospital where she goes for chemotherapy treatments, but due to busy flu season, that hospital has no beds.   

March 26, 2019
News & Insights

Case managers face countless challenges when dealing with end-of-life care, and with less than 50% of Medicare beneficiaries utilizing hospice programming, changes had to be made.

March 22, 2019
Case Management Monthly

Case managers often run into questions when performing their daily duties. Sometimes they’re related to best practice, and other times they’re related to regulatory issues.

March 15, 2019
Case Management Monthly

The disappearing MLN Matters® on total knee arthroplasty is back. CMS reissued it on January 24 with fixes to some—but not all—of the problems in the initial version.

March 13, 2019
News & Insights

Q: Do you have any advice for what to do when confronted with a duty-to-warn situation?

March 12, 2019
News & Insights

The Occupational Safety and Health Review Commission (OSHRC) affirmed an OSHA citation in a case where an employee of Integra Health Management, Inc., of Owings Mill, MD, was killed by a client with a history of violent behavior.

March 8, 2019
Case Management Monthly

The latest Biennial Health Insurance Survey released by the Commonwealth Fund, a private foundation that aims to promote a high-performing healthcare system, finds that a growing number of Americans are struggling with insurance-related problems.

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