Case Management

Mentor Moment: Understand home health rules for better care

Case Management Weekly, May 16, 2012

For many patients, home health services can mean the difference between a successful recovery and a hospital readmission.

But, patients who need services go without because of confusion over eligibility requirements, says Jackie Birmingham, RN, MS, CMAC, BSN, vice president emeritus of clinical leadership at Curaspan Health Group in Newton, Mass.

“Hospitals are sometimes more restrictive than they need to be,” says Birmingham. Home health agencies sometimes are overly conservative because they fear that patients won’t qualify for services, says Karen Zander, RN, MS, CMAC, FAAN, principal and co-owner of The Center for Case Management in Wellesley, Mass.

Read the entire post and more on HCPro’s Case Management Mentor blog.

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