July 10, 2018
News & Insights

Case managers are a valuable component of any healthcare facility’s care team, whether they are in discharge planning or utilization management roles. As healthcare evolves, so too do the roles and expectations for the facility’s staff, making it critical for case managers and other team members to periodically evaluate whether their career goals align with their current work.

July 9, 2018
News & Insights

Our facility is looking into outsourcing our transcription. What should we consider before we make the leap?

July 6, 2018
News & Insights

On June 28, a woman from Butler, Pennsylvania, was indicted by a federal grand jury, accused of wrongfully obtaining and disclosing protected health information (PHI) in violation of HIPAA.

July 5, 2018
News & Insights

Q: I work in a skilled nursing facility and would like to post the level of assistance needed and precautions on a dry erase board in patients’ rooms for nursing assistant use. Is this allowed?

July 3, 2018
News & Insights

Case managers must begin to learn the skill of brokering for care. The goal of private payers is to provide the most cost-effective care that meets medical necessity for services and increases likelihood for recovery. 

July 2, 2018
News & Insights

What is a good strategy for sharing denials data with the medical staff to ensure they understand weaknesses?

July 11, 2018
News & Insights

What is the weakest/worst-case scenario for the structure of a case management department?

July 6, 2018
News & Insights

Q: Is it appropriate to query whether a pressure ulcer was present on admission (POA) if it was not documented until later in the admission?

June 29, 2018
News & Insights

Q: We are revamping our coding department at our facility after acquiring new sites and wanted to know what types of positions and roles our staff should have. Do you have any advice?

June 29, 2018
News & Insights

The U.S. House passed the Overdose Prevention and Patient Safety Act (HR 6082) on June 20 to amend the Public Health Service Act and protect the confidentiality of substance use disorder (SUD) patient records.

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