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Case managers can make a difference in improved coding

Case Management Monthly, June 1, 2008

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Although many think a case manager’s job includes utilization, resource management, and length-of-stay (LOS) management, case managers can be involved in much more. One area in which case managers are playing a greater role is in ensuring physician documentation. By teaming with the health information management and coding departments, case managers can realize greater involvement in monitoring and ensuring physician documentation through physician education and coaching. This will help ensure that the hospital gets credit for the services rendered, appropriate lengths of stay for patients, and the correct reimbursement, says Debbie Russell, BSN, MBA, CMAC, executive director of patient resource management at Regency Hospital Company in Alpharetta, GA.

This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to Case Management Monthly.

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