More than one-third of Americans are obese, according to the Centers for Disease Control and Prevention. These individuals typically have a higher risk of numerous health conditions, such as heart disease, stroke, diabetes, and certain types of cancer-conditions that can all lead to higher rates of complications and readmissions.
If your utilization review (UR) committee is like many others nationwide, it may not have actually met in years-and chances are your UR committee members are secretly glad that's the case. Let's face it; those meetings can be a complete snooze.
Just a few years ago, few employers required certification for new case managers. Today, more than one-third seek this stamp of approval when they bring someone new on board.
Physician advisors provide a critical link between case management and physicians; it's a position that requires deft communication skills, regulatory know-how, and a stiff backbone.
For many patients, home health services can mean the difference between a successful recovery and a hospital readmission, but patients who need services go without because of confusion over eligibility requirements.
