Case Management

Is the second Important Message from Medicare important?

Case Management Monthly, June 1, 2010

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

To get a better idea of how hospitals handle the second IM, the Public Policy Committee members developed an online survey. 

The committee received 389 responses. The results of the survey include the following:

  • 84% say case management is responsible for issuing the second IM
  • Nearly 40% of respondents say the issuance of each IM takes more than 10 minutes
  • Of those who track IM compliance, 40% report a compliance rate between 76% and 100% 
  • 38% of respondents report increased numbers of discharge appeals
  • 96% say less than 25% of patient appeals are successful
  • Respondents generally feel the second IM adds little value to patient care and adds to patient confusion and frustration

The survey’s results reinforced what the committee members had already known about the second IM through anecdotal evidence—the process is burdensome, redundant, and ineffective.

“It definitely supported our thoughts when they told us that there was an increase in appeals for facilities,” says Christy Whetsell, BSN, RN, MBA, ACM, chair of the Public Policy Committee and director of care management at West Virginia University Hospital in Morgantown. 

However, very few of those appeals are successful, and some case managers feel patients use the appeal to stay an extra day while waiting for a response. 

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

Most Popular