How can an ICU case manager coordinate the final care of an emergency room patient who never regains consciousness and the only thing known about him is his name?
Case managers and hospitals are increasingly struggling with challenges related to patients with opioid-related substance use disorders. But new legislation working its way through the government may help.
Finding postacute placement for infants, children, and youth with complex health conditions can be a sizable challenge. While many organizations have begun to create programs to support adult patients in their transitions to postacute facilities and back into the community, the same programs should be considered for pediatric patients.
Medicare beneficiaries who received transitional care services from physicians after they were discharged home from a healthcare organization had lower costs and were less likely to die in the month that followed than those who didn’t, according to a new study.
The IPPS 2019 final rule, released August 3, formally reversed the CMS requirement that a physician’s order must be in the medical record for the hospital to bill for inpatient services under Medicare Part A. But it hasn’t eliminated all the associated headaches related to inpatient admission orders.
A case manager works on a postacute transfer plan for a patient who is critically ill with sepsis and at risk for acute renal failure. Because the patient has a history of IV drug use, it is likely that long-term acute care hospitals will deny him admission.
Many case management directors have questions that arise from time to time on a variety of topics. Here are two such questions along with responses that may help if you’re facing similar challenges.
A proposed change to CMS’ 2019 Physician Fee Schedule proposed rule is causing controversy. CMS is suggesting revisions to the fee schedule aimed at simplifying the way physicians choose codes.
If your organization is part of a Medicare accountable care organization (ACO), changes may be on the horizon. CMS is proposing changes to the program that would require organizations to take on more financial risk and is giving it a new name, “Pathways to Success.”
