Case Management

Case Management Articles by Topic: Regulatory Compliance

CMW mentor moment: Promoting efficient use of resources and appropriate hospitalization length of stay to physicians, a different approach

  • Case Management Weekly, Issue 30, November 18, 2009

    Change is on the horizon. CMS currently is considering provisions that will promote the efficient...

CMW sneak peek: Pilot program identifies the cause of frequent ED visits; patients overcome barriers

  • Case Management Weekly, Issue 30, November 18, 2009

    University Health Care Center (UHCC) in Syracuse, NY modeled its program for handling frequent ED...

CMW tip of the week: Informing immigration officers about an undocumented alien

  • Case Management Weekly, Issue 42, October 21, 2009

    Are hospitals required to inform immigration officers when an undocumented alien seeks care?

Free software can help you prepare for RAC audits

  • Case Management Monthly, Issue 9, September 1, 2009

    Do you ever wonder how the postacute transfer rule will affect the reimbursement for a particular...

CMW Tip of the Week: Consider other level-of-care options

  • Case Management Weekly, Issue 29, July 22, 2009

    This week’s tip comes from Deborah Hale, CCS, author of Observation Status: A Guide to...

CMW Tip of the Week: MedicareFind.com launches

  • Case Management Weekly, Issue 26, July 1, 2009

    HCPro, Inc. is pleased to announce the launch of MedicareFind.com, a new regulatory database...

CMW News: California fines 13 hospitals for errors

  • Case Management Weekly, Issue 21, May 27, 2009

    The California Department of Public Health has collected approximately $1.2 million in fines from...

CMW News: Unnecessary hospital admissions cost Medicare $20 billion

  • Case Management Weekly, Issue 18, May 6, 2009

    A recent study by the Agency for Healthcare Research and Quality says that hospitals spent over $30...

CMW News: Massachusetts hospitals report more than 300 errors

  • Case Management Weekly, Issue 15, April 15, 2009

    The Department of Public Health released a report last week that says more than 300 patients in...

CMW Tip of the Week: Using Condition Code 44

  • Case Management Weekly, Issue 15, April 15, 2009

    This week’s tip, an ask the expert,  was submitted by Elaine Hall, LPN, a care...

CMW Mentor Moment: Discharging to an LTACH

  • Case Management Weekly, Issue 14, April 8, 2009

    The article below was written by Jackie Birmingham, RN, BSN, MS, CMA, and is an excerpt from...

CMW News: Medicare rehospitalizations cost $17.4 billion in 2004

  • Case Management Weekly, Issue 14, April 8, 2009

    A study recently published in The New England Journal of Medicine examined Medicare claims data...

Evaluate your facility's UR committee

  • Case Management Weekly, Issue 10, March 11, 2009

    This week’s tip comes from Karen Zander, RN, MS, CMAC, FAAN.

CMW Tip of the Week: Address one-day stays before the RAC permanent program begins

  • Case Management Weekly, Issue 7, February 18, 2009

    It is no secret that RACs focused on one-day stays in the demonstration project. So what are you...

CMW News: The RAC is back on track

  • Case Management Weekly, Issue 6, February 11, 2009

    The Centers for Medicare & Medicaid Services announced on February 6 that the contract protests...

Mastering Medicare's Important Message

  • Case Management Monthly, Issue 2, February 1, 2009

    Although many facilities struggle with delivering the Important Message (IM) from Medicare as part...

Improve patient satisfaction to enhance discharge planning

  • Case Management Monthly, Issue 2, February 1, 2009

    A patient can come into your facility and get the best care possible, but if you don't have a...

CMW Tip of the Week: How to handle Advance Beneficiary Notices of Noncoverage

  • Case Management Weekly, Issue 4, January 28, 2009

    This week’s tip comes from Jackie Birmingham, RN, BSN, MS, CMAC.

CMW News: Surgical checklist increases patient safety

  • Case Management Weekly, Issue 3, January 21, 2009

    A new study concludes that a 19-item surgical safety checklist decreased post-surgical...

CMW News: CMS issues final interim rule on durable medical equipment

  • Case Management Weekly, Issue 3, January 21, 2009

    CMS announced a temporary delay in the implementation of a competitive bidding program for durable...

Eliminate overcrowding in the ED

  • Case Management Monthly, Issue 1, January 1, 2009

    ED overcrowding is a problem almost every hospital faces. Many patients inappropriately come to the...

What role does the case manager play in coordinating and implementing core measures?

  • Case Management Monthly, Issue 1, January 1, 2009

    No longer just a Joint Commission requirement, core measures have hit everyone’s radar and...

CMW News: Hospitals around the nation look to cure ED overcrowding

  • Case Management Weekly, Issue 50, December 17, 2008

    Too many patients and not enough capacity in the emergency department has been a longstanding...

CMW News: The Joint Commission, CMS not enough to keep hospitals safe

  • Case Management Weekly, Issue 49, December 10, 2008

    The United States has difficulty penalizing or closing unsafe hospitals because it lacks a single...

CMW News: Web site helps seniors choose Medicare Part D plan

  • Case Management Weekly, Issue 48, December 3, 2008

    Now seniors and caregivers can find the most suitable and cost effective Medicare Part D plan by...

CMW News: Survey reports physician concerns regarding never events

  • Case Management Weekly, Issue 46, November 12, 2008

    On October 1, CMS began withholding additional payments to hospitals for certain identified serious...

CMW Tip of the Week: Properly document discharge plans

  • Case Management Weekly, Issue 46, November 12, 2008

    This week’s tip, an “Ask the Expert,” was provided by Karla Mariska, RN, a...

Manage your fear of the RAC

  • Case Management Monthly, Issue 11, November 1, 2008

    CMS’ Recovery Audit Contractor (RAC) program elicits feelings of fear, but Brenda Keeling...

Make advocacy and quality the focus of a comprehensive case management program

  • Case Management Monthly, Issue 11, November 1, 2008

    If your case management program is like most, it focuses mainly on utilization review and discharge...

Transforming the elective precertification process

  • Case Management Monthly, Issue 11, November 1, 2008

    The corporate care management staff at the University of Pittsburgh Medical Center (UPMC) knew its...

LOS initiative saves one facility more than $1 million

  • Case Management Monthly, Issue 10, October 1, 2008

    When New Hanover Regional Medical Center (NHRMC) in Wilmington, NC, wanted to decrease LOS...

Say yes to best practices in denial prevention

  • Case Management Monthly, Issue 10, October 1, 2008

    Today, hospitals are facing many challenges: Shrinking payer sources, increasing charity care...

Where case management sits in the POA puzzle

  • Case Management Monthly, Issue 9, September 1, 2008

    $23,772: That's the projected average annual loss per hospital starting October 1, when Medicare...