News & Analysis

July 26, 2023
Case Management Monthly

Amanda, a surgical case manager, learns that her patient, Evan, lives in a region so remote that there are no home care services available.

July 26, 2023
HIM Briefings

Contract negotiations can make or break a hospital, because in addition to setting the price list for services provided to the insurer’s members, the negotiations also affect the resources that the provider expends to comply with the contract terms. Use this sample language as a template for your organization.

June 28, 2023
Case Management Monthly

Debra, a case manager, helps a patient who has undergone plastic surgery six times in the past six years.

June 28, 2023
Case Management Monthly

CMS introduced the inpatient-only list in 2001 to ensure patients who undergo complex, high-risk surgical procedures receive postoperative monitoring services in an inpatient setting.

June 21, 2023
Case Management Monthly

Review these tips for setting up an internal preauthorization process at your facility to save time and money.

June 7, 2023
Case Management Monthly

Research has shown that high drug costs can have a substantial effect on patient care. Learn how these costs can impact skilled nursing facility (SNF) admissions.

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