A case manager and social worker from Florida were recently arrested for billing Medicaid for $160,000 in fraudulent charges, according to the OrlandoSentinel. The pilfering pair were engaged to be married.
CMS auditors may start to look the other way when it comes to enforcing the 96-hour certification requirement this fall. That’s according to the 2018 proposed IPPS rule, which could be beneficial for critical access hospitals (CAH).
Mary, a medical case manager, was comforting Susan, the daughter of one of her patients, who was distressed because her mother was hospitalized with a broken hip. Susan, an only child, was the primary caregiver for both her parents. After visiting her mother in the hospital, Susan would run home to provide evening care for her father, who had a home-care technician during the day.
Medicare Advantage beneficiaries often see greater racial disparity than traditional Medicare patients where readmissions are concerned, according to a recent Health Affairs study.
The ED will soon no longer serve as the welcome mat for the community because the role of the entire hospital in the continuum of healthcare services is going through rapid transformation.
In an effort to promote the development of the case management profession, the Case Management Society of America and the Commission for Case Manager Certification recently entered a collaborative agreement surrounding certification and membership.
There is little doubt that food plays a crucial role in health, but eating habits are often treated as a lifestyle, not a medical issue. That recently changed in Pennsylvania when a group of hospitals banded together to pilot a new program, The Healthy Food Access Pilot, which strives to help at-risk patients eat well in an effort to improve health outcomes.
