Case Management

Peggy Rossi, BSN, MPA, CCM, CMAC, details how case managers act as the intensive care unit staff of their organization's revenue cycle.

Learn about a new U.S. Department of Justice (DOJ) whistleblower program and review methods for ensuring neutral post-acute recommendations.

Learn about new HHS initiatives that are designed to reduce the direct care staffing shortage and help organizations meet the rising demand for home health services.

Studies have shown that generative artificial intelligence programs can write clinical notes and even pass medical licensing exams. Could they also produce more patient-friendly materials, such as discharge summaries?

A case manager works to help a hospitalized patient who is out of Medicare Part A benefits successfully transition to a rehabilitation facility.

A final rule issued by CMS in February includes several changes to Medicare Advantage (MA) regulations aimed at ensuring health equity, quality, and safety.

Learn about recent Medicare Advantage (MA) developments regarding commercial criteria and artificial intelligence, as well as new guidelines for texting patient information.

The Substance Abuse and Mental Health Services Administration recently issued a final rule to help healthcare providers, including case managers, gain access to and protect information needed to support patients with substance use disorders (SUD).

Learn about CMS' new Transforming Maternal Health Model, which is designed to improve maternal healthcare and reduce associated health disparities.

Follow the story of a case manager who steps into the shoes of her patients after sustaining a spontaneous knee injury.