CMW Sneak Peek: Present on admission: Distinguishing an opportunity for case managers
Case Management Weekly, October 1, 2008
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Throughout the United States, hospitals are trying to keep pace with new regulations, requirements for billing, and pay-for-performance indicators. Case management has had a perpetual struggle quantifying contributions in organizational success, but the present-on-admission (POA) regulation might offer new ways to quantify case management contributions.
Although reimbursement is at the forefront of POA, evidence-based practice and continuity of care are also involved. This provides an opportunity to showcase how case managers use their clinical judgment to support financial performance.
Case managers have been identified as the conduit of information between third-party payers, patients, and physicians. POA offers an opportunity to expand this collaboration to include medical records coders. Whether we identify concurrent coding specialists or the education of providers as the means to accomplish this, we need to identify where clinical decision-making intersects coding practices. Case managers are poised to become the pivot point for communication between all parties.
Check out the September 2008 issue of Case Management Monthly to get the full story, and discover all the benefits of being a Case Management Monthly subscriber!
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