News

Case managers must be positioned (through the organizational structure) and must position themselves (through skills and knowledge) to be an instrumental and influential member of the team to support and monitor the development of a comprehensive and sustainable plan for the patient.

The Government Accountability Office (GAO) has urged CMS to renew prior authorization programs slated to expire. The GAO made its case for continuing the programs in a report released in April, arguing that the programs reduced spending by nearly $2 billion since 2012.

The National Association of Social Workers is speaking out against the U.S. Department of Commerce’s decision to include a question about citizenship on the 2020 Census, stating that it would deter some from completing the census.

What resources are available for social workers who spot elder abuse in their patients?

What impact does the registration or access department have on overall revenue integrity?

Since the Health Information Technology for Economic and Clinical Health Act was implemented in 2009, HHS' Office for Civil Rights has received a total of 347,090 reports on breaches of patient data, according to a report published by Health Information Privacy/Security Alert.

The Office of Inspector General (OIG) plans to put Medicare Part B payments for outpatient cardiac and pulmonary rehabilitation under the microscope, according to the agency’s recently updated Work Plan.

Patient care is strengthened by the RN case manager and social work relationship. Social workers should consider patient psychosocial needs alongside the RN case manager’s assessment of the patient’s disease trajectory and recovery requirements. 

What should case management directors consider when implementing a case management model?

What strategies can patient access departments employ to ensure patients are registered and processed in a timely manner?