Case Management

The case management team has a difficult time finding a psychiatric unit for a bipolar patient.

Several case managers have recently received denial letters from their regions’ Medicare Advantage (MA) for medically necessary readmissions.

To begin to think about separating the UR function from the case management role, you must question the validity of the functional model

Private care managers assist patients who have complex care needs such as coordination of multi-specialty appointments, medication management, and transportation.

Teaching noncompliant patients how to cheat seems counterproductive, but this strategy saved lives in one medical center’s renal patient population.

One setting alone doesn’t possess all the services required to fulfill a patient’s needs. Employees at each setting have different talents, skills, and knowledge needed to achieve all the care needs.

Many of us dream of the day when our department achieves its targeted LOS; however, LOS perfection can create new problems

The several different types of post-acute agencies (home health, nursing homes, hospices) and several individual agencies within those types can cause aggravation and, more importantly, delays.

The case management department at Children’s Healthcare of Atlanta (CHOA) developed a tool called “Ticket to Home” to prepare patients and their families for discharge.

The U.S. Department of Health and Human Services (HHS) proposed modifications to the HIPAA Privacy and Security Rules in July. In light of the changes, now might be a good time to make sure you and your colleagues understand those rules.