December 29, 2016
Case Management Monthly

Back in May, CMS put a hold on short-stay inpatient audits related to the 2-midnight rule. That hold was lifted effective September 12, 2016, according to a FAQ published by CMS as CMM reported last month. Our readers are wondering, however, about the latest information when it comes to these reviews. We reached out to Ronald Hirsch, MD, FACP, CHCQM, vice president of the Regulations and Education Group at Accretive Health in Chicago, to give us the latest update.

December 16, 2016
Case Management Monthly

When you’re working to prevent readmissions at a large hospital system, things can get complicated pretty quickly just by virtue of the size of the organization. But at one Texas health system, officials have opted to simplify their process by boiling down their efforts to four pillars that they say are helping them to keep patients from needing to return to the hospital unnecessarily.

December 9, 2016
Case Management Monthly

Life for many lesbian, gay, bisexual, and transgender (LGBT) Americans seems to be improving in many ways in recent years. A 2013 Pew Research survey of LGBT adults showed that 92% believe that society is more accepting of them than it was in the past and that this support is trending in the right direction for the future. But while LGBT Americans have made gains, research shows that disparities remain, particularly when it comes to healthcare for older LGBT individuals.

November 29, 2016
News & Insights

CMS recently announced its annual list of quality and cost measures for consideration for value-based care purchasing programs. A period of pre-rulemaking for quality measures is required under the Affordable Care Act.

November 18, 2016
News & Insights

How can discharge planners collect discharge planning data? What type of software supports data collection?

November 15, 2016
News & Insights

The North Dakota Department of Human Services’ claims for Medicaid reimbursement for Targeted Case Management Services did not meet all federal requirements and lacked appropriate policies and procedures for claims, according to the Office of Inspector General.

November 11, 2016
News & Insights

What categories should a patient’s final discharge plan include?

November 9, 2016
News & Insights

Discharge planning is a process that provides a systematic basis for preparing a patient for discharge. It is a dynamic process because of the changing clinical status of the patient and changes in the healthcare system.

November 8, 2016
News & Insights

Including patients and families/caregivers in daily hospital rounds and bedside conversations can provide patients and their families with better insight into care and enable active participation.

November 1, 2016
Case Management Monthly

Every couple months, it seems questions arise about the 2-midnight rule and there are rumors that it may be going away. Below are some questions with answers from our expert Ronald Hirsch, MD, FACP, CHCQM, vice president of the Regulations and Education Group at Accretive Health in Chicago, to clarify where things stand today with regard to the 2-midnight rule.

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