A physician has recommended an excellent treatment plan for your patient. It looks good on all fronts. But there is one final question a good case manager should ask: Will the patient's insurance pay for it?
Various types of certification are available for case managers, but one credential focuses on the specific skills needed in a hospital setting-Accredited Case Manager (ACM™) certification.
Chronic obstructive pulmonary disease (COPD) is a complex condition that is a major source of readmissions at many hospitals, say Loretta Olsen, RN, MSN, the director of case management at Mercy Medical Center North Iowa in Mason City.
In October, CMS will start including hospital scores on the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey in its calculations for the valude-based incentive programs, which is part of the Value-Based Purchasing Programs. Is your organization ready?
A recent study indicates that more Medicare patients are being assigned to observation services than in the past, and this decision may be costing these patients money, according to the July issue of Health Affairs.
