Case Management Newsletters

This newsletter offers case studies, best practices, and how-to analysis to help case managers move patients through the care continuum efficiently and safely.

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Issue 11, November 1, 2016 - VIEW THE FULL ISSUE

• Letter from the editor: Accessing your newsletter content

  The challenges healthcare professionals tackle each day don’t wait for solutions, and neither...

• Accountable care units can help streamline communication and reduce length of stay

  Opening the lines of communication between clinicians and specialists to make care more efficient...

• Commonwealth Fund study shows insurance gaps remain

  While some 26 million Americans have gained insurance since the Affordable Care Act (ACA) became...

• Is the 2-midnight rule going away and when will short-stay audits resume?

  Every couple months, it seems questions arise about the 2-midnight rule and there are rumors that...

Issue 10, October 1, 2016 - VIEW THE FULL ISSUE

• Case study: MOON requirement delayed in IPPS final rule

  Hospitals got a last-minute reprieve from the MOON notification requirement, which was set to go...

• Getting ready for MOON

  When CMS decided to postpone the MOON notification requirement a few days before the scheduled...

• Questions about MOON and CMS notification regulations

  One of the topics raising the most questions in case management today is related to the MOON...

Issue 9, September 1, 2016 - VIEW THE FULL ISSUE

• Case study: Using physician advisors as an agent for change

  Physician advisors (PA) are an important ally for case managers at many organizations when it comes...

• NOTICE Act confusion continued into the summer

  Hospitals were struggling this summer to comply with the Notice of Observation Treatment and...

• Ask the expert: Understanding nuances of patient status and therapeutic services

  Assigning the correct patient status is a constant challenge for hospitals and the case managers...

Issue 8, August 1, 2016 - VIEW THE FULL ISSUE

• CMS puts short-stay audits on hold

  There's good news and bad news on the 2-midnight rule front. The good news: CMS has put...

• Ask the expert: Navigating the skilled nursing benefit for Medicare

  Assigning the correct patient status is important not only to ensure that the hospital gets...

• 10 things you should know to ensure successful discharge planning

  One of the more challenging aspects of a case manager's job is helping to ensure a patient...

Issue 7, July 1, 2016 - VIEW THE FULL ISSUE

• Discharge resource centers on the upswing

  Discharge planning has become more important in recent years. Not only is the government putting...

• Medicare's proposed discharge planning changes at a glance

  Discharge planning has long been a challenge for organizations, but proposed revisions to...

• Case managers trigger HIPAA concerns

  Q: I am a certified case manager working in an acute care hospital. As part of our job...

Issue 6, June 1, 2016 - VIEW THE FULL ISSUE

• Interventions reduce readmission risks for HPEN patients

  Each year, some 400,000 patients in the U.S. receive home parenteral and enteral nutrition (HPEN...

• Getting the right physician advisor

  The right physician advisor can be an ally for case managers, helping to improve communication and...

Issue 5, May 1, 2016 - VIEW THE FULL ISSUE

• Increased use of observation services not behind drop in readmissions

  The readmission rate is dropping, but are hospitals just doing a quick shuffle--shifting patients...

• Common documentation mistakes case managers can help fix

  Documentation can be a headache for everyone, from the physicians who have to take precious time...

Issue 4, April 1, 2016 - VIEW THE FULL ISSUE

• Strategies to address flood of opioid dependence

  The number of drug overdoses related to opioids has more than quadrupled in the U.S. since 1999...

• Overcoming readmissions risks in racially and ethnically diverse patients

  All readmissions are not created equal. Research shows that ethnic and racial minorities may wind...

Issue 3, March 1, 2016 - VIEW THE FULL ISSUE

• Five changes case managers should be on the lookout for in 2016

  Now that you've had time to recover from the first hectic months of the new year, it's time to...

• AHA asks for more information, time to comply with NOTICE Act

  The American Hospital Association asked CMS to clarify some aspects of its new outpatient...

• Tips to prepare for CJR

  At the completion of this educational activity, the learner will be able to:

• Is your hospital ready for the CJR model?

  Is your hospital in one of the 67 geographic areas defined by CMS as a metropolitan statistical...

Issue 2, February 1, 2016 - VIEW THE FULL ISSUE

• Surprise: QIO short stay audits tracking back farther than expected

  When the Quality Improvement Organizations (QIO) took over the role of education and enforcement...

• CMS moves to bundle knee and hip surgery payments

  On November 16, 2015, CMS released a final rule that bundles acute-care payments for knee and hip...

• Improving the collaboration between CDI and case management

  Clinical documentation improvement specialists and case managers share a common goal but often...

Issue 1, January 1, 2016 - VIEW THE FULL ISSUE

• Proposed rule focusing on discharge process could increase case management staffing needs

  A new proposed rule aimed at reducing readmission rates and improving patient care could bring big...

• Get your department moving in the right direction

  If you've been working in case management, you already know that your job has gotten a lot more...

• Our experts tackle your toughest questions

  Compliance with the 2-midnight rule can be tricky for many organizations, which has left many case...