Case Management Articles by Topic: Billing and Reimbursement
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Case Management Monthly, Issue 12, December 1, 2009
Inside:
Clearing up condition code 44 confusion
What are some innovative ways case managers can...
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Case Management Weekly, Issue 30, November 18, 2009
Healthcare providers are starting to share their interactions with recovery audit contractors...
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Case Management Monthly, Issue 11, November 1, 2009
Inside:
Clearing up condition code 44 confusion
What are some innovative ways case managers can...
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Case Management Weekly, Issue 42, October 21, 2009
Hospitals use the CMI to determine the budget. If the actual CMI is lower than the budgeted CMI...
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Case Management Monthly, Issue 10, October 1, 2009
Answers to your questions about dealing with undocumented patients
Process tips from your peers...
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Case Management Weekly, Issue 37, September 16, 2009
More than half (55%) of individuals older than 50 do not think enough physicians or nurses will be...
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Case Management Monthly, Issue 9, September 1, 2009
Inside: One facility re-develops an assessment tool to ensure documentation What are the benefits...
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Case Management Monthly, Issue 9, September 1, 2009
Do you ever wonder how the postacute transfer rule will affect the reimbursement for a particular...
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Case Management Monthly, Issue 8, August 1, 2009
Expediting discharges with a case manager-nurse practitioner model
How CMS’ 9th Scope of...
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Case Management Monthly, Issue 7, July 12, 2009
Inside:
Virtual patient advocate could reduce readmissions
Case managers intervene to aid...
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Case Management Weekly, Issue 27, July 8, 2009
A change-of-status form will help ensure that a hospital meets all of the criteria for reporting...
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Case Management Monthly, Issue 7, July 1, 2009
The goal is to comply with payer rules and provide the appropriate care to patients. As simple as...
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Case Management Monthly, Issue 7, July 1, 2009
The spotlight’s shining on readmission rates. A Commonwealth Fund–supported study...
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Case Management Weekly, Issue 26, July 1, 2009
The Pharmaceutical Research and Manufacturers of America, following negotiations with lawmakers...
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Case Management Weekly, Issue 25, June 24, 2009
In an effort to reform healthcare and reduce costs, President Obama has called for $313 billion in...
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Case Management Weekly, Issue 22, June 3, 2009
The Patient Friendly Billing Project, a collaborative effort spearheaded by the Healthcare...
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Case Management Monthly, Issue 6, June 1, 2009
Hospitalist programs are becoming increasingly popular because of their specialized knowledge of...
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Case Management Monthly, Issue 6, June 1, 2009
Hospitals large and small, rural and urban, face a common struggle to ensure that their patients...
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Case Management Monthly, Issue 6, June 1, 2009
Inside:
Observation status: Tips for accurate care determination
Partner with hospitalists to...
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Case Management Weekly, Issue 19, May 13, 2009
Offering case management intervention and housing to homeless patients reduced hospitalizations by...
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Case Management Monthly, Issue 5, May 1, 2009
The time is now for RAC readiness for case management departments throughout the country.
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Case Management Monthly, Issue 5, May 1, 2009
Case Management Monthly, an 8-page monthly newsletter, is a one-of-a-kind training, support, and...
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Case Management Weekly, Issue 17, April 29, 2009
Despite Massachusetts’ mandated health insurance law that became effective in 2006, ED visits...
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Case Management Weekly, Issue 14, April 8, 2009
Hospitals may discount services to uninsured and underinsured patients who are unable to pay their...
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Case Management Monthly, Issue 4, April 1, 2009
Adding weekend case management at your facility may seem like a difficult task or an unnecessary...
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Case Management Weekly, Issue 13, April 1, 2009
A study of 148 hospitals in 2008 has identified that nearly 31% of patient revenue written off as...
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Case Management Weekly, Issue 12, March 25, 2009
Many healthcare providers believe it would be better practice to spend $100 providing primary care...
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Case Management Weekly, Issue 11, March 18, 2009
The Iowa Hospital Association (IHA) reports declines in service areas and increases in charity care...
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Case Management Weekly, Issue 11, March 18, 2009
This week’s tip, an “Ask the Expert,” comes from Karen Feeley, director of...
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Case Management Weekly, Issue 9, March 4, 2009
The Medicare Payment Advisory Commission (MedPac) recently provided Congress with its...
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Case Management Weekly, Issue 7, February 18, 2009
A recent study aimed at keeping elderly patients with chronic conditions out of the hospital...
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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...
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Case Management Weekly, Issue 6, February 11, 2009
The Centers for Medicare & Medicaid Services announced on February 6 that the contract protests...
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Case Management Weekly, Issue 4, January 28, 2009
Nine out of 10 hospitals reported that borrowing money has become harder due to the economic...
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Case Management Weekly, Issue 2, January 14, 2009
In an effort to better align the incentives for both hospitals and physicians, CMS has established...
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Case Management Weekly, Issue 2, January 14, 2009
The California Supreme Court recently ruled that physicians can no longer bill patients for...
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Case Management Monthly, Issue 1, January 1, 2009
Managed care companies are viewed as the Goliath to a case management program’s David...
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Case Management Weekly, Issue 47, November 26, 2008
Some Massachusetts hospitals earn much higher rates than other hospitals in the state for...
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Case Management Weekly, Issue 46, November 19, 2008
This week’s tip is provided by Deborah K. Hale, CCS.
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Case Management Weekly, Issue 46, November 12, 2008
As emergency departments are filled to capacity with patients who have no insurance or can’t...
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Case Management Weekly, Issue 45, November 5, 2008
While palliative care is a relatively new specialty, a recent study provides more evidence of its...
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Case Management Weekly, Issue 45, November 5, 2008
In the past, drug companies have been criticized for encouraging physicians to prescribe their...
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Case Management Monthly, Issue 11, November 1, 2008
CMS’ Recovery Audit Contractor (RAC) program elicits feelings of fear, but Brenda Keeling...
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Case Management Monthly, Issue 10, October 1, 2008
When New Hanover Regional Medical Center (NHRMC) in Wilmington, NC, wanted to decrease LOS...
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Case Management Monthly, Issue 10, October 1, 2008
St. Luke’s Episcopal Hospital in Houston had several problems in its ICU: LOS rates had...