Case Management

Tip: Consult PFS when caring for patients who lack health insurance

Case Management Weekly, May 25, 2011

ED case managers play a pivotal role for patients who are indigent, undocumented illegal immigrants, or simply individuals who don’t have or can’t afford health insurance. 

Having patient financial services (PFS) available in real time in the ED or for consultation to check eligibility is beneficial. PFS might be able to enroll qualified patients in an insurance plan (e.g., Medicaid program), or a charitable or free-care program. Case managers work with PFS and also help these patients obtain discharge medications, postacute services, and needed equipment.

This week’s tip is adapted from Emergency Department Case Management: Strategies for Creating and Sustaining a Successful program published by HCPro, Inc. For more information about this book or to order your copy, visit the HCMarketplace

Do you have a question about a case management topic? Send it to Associate Editor Ben Amirault at bamirault@hcpro.com. An answer to your question might appear in a future issue of Case Management Weekly.

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