Data is an essential tool in understanding the patient population that will guide the focus of your case management program, and both internal metrics and community/public health data will provide strategic focus to case management practices.
A proposed change to CMS’ 2019 Physician Fee Schedule proposed rule is causing controversy. CMS is suggesting revisions to the fee schedule aimed at simplifying the way physicians choose codes.
The U.S. Senate passed its amendment to H.R. 6, the Opioid Crisis Response Act of 2018, on Monday in a 99-1 vote to address the United States’ ongoing opioid addiction epidemic.
If your organization is part of a Medicare accountable care organization (ACO), changes may be on the horizon. CMS is proposing changes to the program that would require organizations to take on more financial risk and is giving it a new name, “Pathways to Success.”
Last month, Governor Brown of California signed bill AB 456 into law, which will remove some of the barriers in place that prevented social workers from providing services upon graduating with a master’s degree in social work.
Hospital administrators often look at case managers when a patient stay exceeds targets. Length of stay is seen as case management’s responsibility—even though the factors that extend patient stays are often out of their control.
The professional case manager and nonlicensed case manager extender relationship is a valuable partnership. The nonlicensed case manager extender is able to assist the patient and follow the patient’s individualized plan of care with the guidance of the professional case manager.
