July 19, 2023
Case Management Monthly

Elizabeth Hogue, Esq., explains why it just got a little harder for the federal government to hold healthcare organizations liable under the False Claims Act.

July 12, 2023
Case Management Monthly

In their HCPro book The Hospital Guide to Contemporary Case Management, authors Stefani Daniels, RN, MSNA, ACM, CMAC, and Tiffany Ferguson, LMSW, CMAC, ACM, examine a critical question that many organizations ask when they are looking to hire—does a case manager really need to be a registered nurse?

July 5, 2023
Case Management Monthly

CMS recently released a list of the 43 drugs and biologicals with a lower coinsurance for 2023.

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 14, 2023
Case Management Monthly

Surveyors don’t always get it right. Learn how to contest deficiencies and get them reversed.

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.

May 31, 2023
Case Management Monthly

Joanna, a case manager, provides support to a 19-year-old subway accident victim.

May 24, 2023
Case Management Monthly

The Office of Management and Budget recently approved new versions of the Important Message from Medicare, Detailed Notice of Discharge, and Medicare Outpatient Observation Notice.

May 17, 2023
Case Management Monthly

An increasing number of rural communities are turning to paramedicine programs to check on patients and catch their health problems before they require a trip to the emergency department.

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