On January 8, CMS released MLN Matters SE19002 on status determinations for total knee arthroplasty, which included guidance on how to determine proper status for patients undergoing the procedure, but CMS quickly rescinded it and announced that it is making revisions and will reissue it in the near future.
In this month's complex case, a case manager deals with a challenging patient who arrives in the emergency department on Friday afternoon, the same day he was supposed to be discharged from his skilled nursing facility.
Case managers focus a lot on the health of their patients, but many don’t devote much time to maintaining their own health, even in the face of job stress and long hours.
Many patients are making the shift from traditional Medicare plans to Medicare Advantage plans, and while these plans may have some advantages, they are also creating more headaches for case managers.
The new year is upon us, which means a new set of challenges and goals for 2019. We asked case management experts what they think case managers will need to focus on in the new year.
A maternity and child case manager is faced with a complex discharge planning situation involving a new mother who has a history of opioid abuse and lives in shelter.