CMS has reinstated the short-stay reviews and high-weighted DRG reviews originally halted in 2019. The national contract to conduct these reviews was awarded to Livanta, one of the Beneficiary & Family-Centered Care and Quality Improvement Organizations.
Anna, a case manager who practices in a pulmonologist’s office, manages adult high-risk asthmatic patient care. The office serves more than 2,000 patients, which Anna learns is the upper range of average. She recently learned that the American Association for Physician Leadership believes that a physician’s office can successfully handle a volume of 3,000 patients.
As the country sees a resurgence of COVID-19 thanks to the delta variant, hospitals are seeing an increase not only in their immediate census numbers, but also in the number of readmissions.
Audits are ramping up across the country, creating additional headaches for many healthcare organizations as they simultaneously struggle with the delta variant of COVID-19.
June Stark, RN, BSN, MEd, writes about how hospitals can increase staff performance and effectiveness as they face challenging financial situations coming out of the public health emergency.
As the COVID-19 pandemic churns on, many hospitals have found themselves struggling with workforce issues from staff burnout to retention and training challenges.
The government has brought numerous criminal cases against case managers for violating the Anti-Kickback Statute. Find out the details of these cases and how your organization can avoid violations.
