The Case Management Society of America recently published The Practice of Hospital Case Management: A White Paper, which details the role a case manager should play in the hospital.
Between 2 and 12 million people may have decided not to get vaccinated against COVID-19 due to misinformation they encountered about the shots. This statistic highlights a problem that many case managers have encountered firsthand when working with patients: medical misinformation and disinformation.
For years, case management experts have been urging hospitals to capture the ICD-10-CM Z codes for social determinants of health SDoH. But the message doesn’t appear to be resonating.
You’ve likely heard of social determinants of health. But healthcare systems and policymakers have coined a number of other terms for similar concepts. This mishmash of terminology is a potential threat to making progress on these issues.
Jody, a case manager, is managing a complex case that tests every bit of her many years of experience. The patient is Henry, a 70-year-old recovering from a moderately severe stroke.
Palliative care is a phrase that may strike fear and confusion in patients and their family members because it’s commonly associated with hospice. But the true definition of palliative care is specialized support and treatment for people living with a serious illness.
A panel of experts recently tackled some common billing questions in a Q&A session at the Mastering Utilization Review and Patient Status: A NAHRI Virtual Event conference. Here are some of their responses.
Tiffany Ferguson, LMSW, ACM, and Marie Stinebuck, MBA, MSN, ACM, CEO and COO at Phoenix Medical Management Inc., discuss why the best strategy to prevent denials related to medical necessity is a proactive approach that focuses on front-end processes.
A former nurse is now facing prison time after being convicted of negligent homicide and impaired adult abuse for a medical error that led to a patient’s death.
