Are you double-checking that your patients being discharged to skilled nursing facilities (SNF) meet the three-day inpatient stay requirement? You might want to take a closer look if you aren’t, in light of a February report from the Office of Inspector General that found CMS paid out potentially millions of dollars for beneficiary stays that didn’t qualify under the rule.
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.
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.
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?
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.
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.
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.
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.
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.
