Case Management

Mentor moment: Discharge planning and the revenue cycle

Case Management Weekly, June 27, 2012

Discharge planners can contribute most to the revenue cycle by proactively recognizing when a special consideration exists and activating a plan to manage patient throughput.

Examples include:
  • The initial interview of a patient with limited English proficiency or other sensory limitation should immediately signal and trigger the need for an interpreter or translation services. Preplanning can prevent the need to wait for an interpreter for discussion of post-acute care options.
  • Admission of a patient with no documentation of coverage or status via the emergency department should trigger an immediate assessment of potential options for payment for post-acute services. Share any information with the organization’s legal counsel and patient accounts department. This type of situation involves multiple concerns, some beyond the control of discharge planning staff, but which nonetheless require their involvement.
  • Assessing a patient and knowing the patient will be referred to a nursing facility should trigger imitation of a Level I Preadmission Screening and Resident Review.

Editor’s note: This article is adapted from Discharge Planning Guide: Tools for Compliance published by HCPro, Inc.

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