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Displaying records 1 to 20 out of 5277 results for "case management models".
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It’s finally here—the week to celebrate all things case management and raise awarenes
OCTOBER 13, 2015
Not all nurses can be successful case managers. Case manager
AUGUST 21, 2019
A homecare model started in the Dutch city of Almelo is turning heads in the U.S. for its innovat
SEPTEMBER 15, 2015
Last Tuesday, CMS announced a forthcoming model to expand its accountable care organization (ACO)
Shared Governance Nurse Manager Training Programis the only training program targeted to nurse m
SEPTEMBER 22, 2016
Clinical documentation improvement (CDI) specialists and case managers share a common goal but of
Dear Case Management Monthly subscriber,   The challenges h
NOVEMBER 1, 2016
by Joan Usher Case conferences will take on increased importance when the Patien
Agencies should consider implementing a Utilization Review (UR) model or a clinical manager as a
A case manager shoulders enormous responsibilities. Often it's a battle, but it doesn't ha
A case manager shoulders enormous responsibilities. Often it's a battle, but it doesn't have to b
More employers than ever are requiring case managers to be certified, according to Commission for
With much attention being given to preventing unnecessary readmissions, it would behoove case man
Many CDI professionals come to the CDI ranks after a career in case management (CM). Many report
The Hospital Case Management Orientation Manual is a comprehensive resource that
The Hospital Case Management Orientation Manual is a comprehensive resource that
The Hospital Case Management Orientation Manual Guide is a comprehensive resource that s
FEBRUARY 24, 2015
The Hospital Case Management Orientation Manual Guide is a comprehensive resource
FEBRUARY 10, 2015
The Hospital Case Management Orientation Manual is a comprehensive resource that
The Hospital Case Management Orientation Manual is a comprehensive resource that
The Hospital Case Management Orientation Manual is a comprehensive resource that
The Hospital Case Management Orientation Manual is a comprehensive resource that supplem
The Hospital Case Management Orientation Manual is a comprehensive resource that supplem
The Hospital Case Management Orientation Manual is a comprehensive resource that supplements of i
SEPTEMBER 1, 2015
The Hospital Case Management Orientation Manual is a comprehensive resource that supplem
DECEMBER 1, 2015
The Hospital Case Management Orientation Manual is a comprehensive resource that supplem
DECEMBER 15, 2015
How many case managers and visit nurses do you recommend per clinical manager?
Your relationship with the physicians you work with might be challenging from time to time. Case
Case managers may not be physicians, but they are integral to the quality of patient care.
Case managers across the country have some unique challenges these days. With new regulations and
In the market for a new IT system and don’t know where to start? The Case Management Societ
March 1, 2004-MARBLEHEAD, MA-Case managers looking for solutions to complex cases and other valua
MARCH 2, 2004
Today, more and more emergency departments (ED) are using designated case managers to improve car
  CMS makes major revisions to RCS model, introduces new proposed Patient-Driven Payment Model
Last week, CMS announced the participants in a new model that bridges hospice and curative
  New voluntary bundled payment model
JANUARY 12, 2018
Businesses have been going lean for years—relying on management principles that are designe
What makes a great nurse manager? What steps do they take to drive success and engagement
DECEMBER 31, 2015
A one-size-fits-all approach to case management and patient care can be detrimental to patients a
OCTOBER 19, 2017
Case management directors get pulled in many directions. It may seem like everyone has something
DECEMBER 15, 2015
by Crys S. Draconi, C-TAGME, education manager for neurosciences at Tufts Medical Center and
OCTOBER 6, 2017
Case managers today have to know a lot. They not only need the skill to work with patients
The College of Healthcare Management Executives (CHIME) considers the Merit-Based Incentive Payme
Performance review time is never easy. Managers have the uncomfortable task of assessing their te
FEBRUARY 18, 2016
  Medicare Advantage Value-Based Insurance Design Model refined
OCTOBER 7, 2016
  Advancing care coordination through episode payment models final rule
FEBRUARY 10, 2017
  CMS cancels two mandatory bundled-pay models
DECEMBER 8, 2017
  New voluntary bundled payment model announced
JANUARY 26, 2018
  New voluntary bundled payment model announced
FEBRUARY 14, 2018
  RCS-1 draft model calculation worksheet
  Two strategic responses to bundled payment models
AUGUST 9, 2018
Case managers can play a role in helping to reduce unnecessary testing.  
Looking for ways to inspire your case managers and encourage them to meet goals? Give them a reas
DECEMBER 8, 2015
by Crys S. Draconi, education manager for neurosciences at Tufts Medical Center and independe
MAY 11, 2018
Keeping tabs on your department’s performance should be a high priority for case managers.
by Bob Markette With a new payment model set to take effect in less than six mon
A governance operating model describes the structure, oversight responsibilities, and infrastruct
With healthcare complexity increasing daily, traditional models of delivering care fail to offer
DECEMBER 29, 2016
Looking to improve your case management department’s performance? Get close to your IT depa
NOVEMBER 3, 2015
OCTOBER 21, 2015
JUSTCODING
NOVEMBER 20, 2013
JUSTCODING
  Upcoming payment model advances CMS' Initiative to Reduce Avoidable Hospitalizations Among Nu
  Affordable Care Act payment model continues to improve care, lower costs
AUGUST 12, 2016
  Dementia Care Added to Medicare Advantage Value-Based Insurance Design Model
DECEMBER 22, 2016
  Patient-driven payment model, survey, and quality: Understanding MDS accuracy and what you ne
  SNF PPS final rule published, new payment model to begin October 1, 2019
AUGUST 3, 2018
Any discussion of therapy goals raises questions about the model that should be used. There is de
While many case managers today work closely with clinical documentation improvement (CDI) special
JANUARY 5, 2016
AM0150 would be answered “2”—Medicare (HMO/managed care/Advantage plan).
by Megan Herr With the Patient-Driven Groupings Model (PDGM) launching on Jan. 1
Also, the best states for physicians, role models’ influenc
MAY 31, 2018
Q: As part of an integrated access management program, what medical documen
It appears many case managers still have a lot of questions when it comes to 2-midnight rule comp
NOVEMBER 3, 2015
Albert Wu, MD, MPH, professor of Health Policy and Management at the Johns Hopkins School of Publ
Medicare recently announced the creation of a new accountable care payment model, which asks prov
Although the new payment model does not value community-based referrals as well, I believe that c
by Crys S. Draconi, education manager for neurosciences at Tufts Medical Center and independe
JUNE 22, 2018
Nationwide opioid crisis intersects with facilities management, safety in stalls of public restr
MAY 11, 2017
Earlier this year, Olympus Corp. announced a voluntary recall of its TJF-Q180V model duodenoscope
MAY 12, 2016
The Acute Hospital Care At Home program will help health systems and hospitals manage inpatie
DECEMBER 3, 2020
Consider managing all your pharmaceuticals as hazardous waste, especially if you are a smaller fa
BY A.J. PLUNKETT Consider managing all your pharmaceuticals as hazardous
MARCH 1, 2019
Pain management Pain management
Case managers may want to keep new and troublesome trend on their radar.
In December 2014, the Commission for Case Manager Certification and its CMLearning Network® e
FEBRUARY 10, 2015
Although May was Mental Health Month, it is important for case managers and other healthcare prof
Good news for case managers who often struggle to navigate the challenges of uninsured patients&m
OCTOBER 6, 2015
Want to ensure everyone in your case management department is working toward the same goals? It m
DECEMBER 1, 2015
Jennifer Thew, RN, for HealthLeaders Media I once had a manager who decla
DECEMBER 17, 2015
CMS has finalized its plan to cancel four mandatory episode payment models for common cardiac and
The Florida Second District Court of Appeal has reversed a lower court finding in the case of
Study makes the case for increasing PACE An article titled &ldq
Medicare and commercial accountable care organization (ACO) models are not created alike.
FEBRUARY 21, 2017
If you think the tension between managers and medical staff is something unique to healthcare in
As payment models evolve for providers across the healthcare continuum, the focus must be on qual
Recently, a whistleblower lawsuit was filed by Kim Cheely, a nurse manager at Georgia Regents Med
APRIL 10, 2015
Does your organization have a utilization management ­committee? Did y
NOVEMBER 1, 2013
  Case Study: Immediate Jeopardy
NOVEMBER 17, 2017
  Consolidated billing: Navigating special cases
AUGUST 9, 2018
A good water management plan begins with your facilities management team and a solid risk assessm
NOVEMBER 1, 2018
Albert Wu, MD, MPH, professor of Health Policy and Management at the Johns Hopkins School of Publ
SEPTEMBER 13, 2018
You note that your agency is considering shifting away from a pay-per visit model for clinicians
Pain Management. Please click on the PDF icon. Pain Management
By Crys Draconi, education manager for neurosciences at Tufts Medical Center Whe
JUNE 20, 2019
Home health value-based purchasing is a separate rewards system. Under the new payment model it w
In July, a patient shot and killed his case worker and wounded a physician at Mercy Wellness Cent
AUGUST 13, 2014
 A good water management plan begins with your facilities management team and a solid risk a
NOVEMBER 1, 2018
  Pain management
JANUARY 1, 2014
  Time management
SEPTEMBER 1, 2013
  Proactive Denial Management
DECEMBER 14, 2016
Stress management tips for your students (and yourself) Stress is not only the No.
MAY 18, 2017
A good water management plan begins with your facilities management team and a solid risk assessm
NOVEMBER 1, 2018
A good water management plan begins with your facilities management team and a solid risk assessm
by Josh Poltilove Restructure clinical managers’ positions so they function
 Be prepared for renewed interest in your water management program and especially how it is
SEPTEMBER 1, 2018
A good water management plan begins with your facilities management team and a solid risk assessm
  Navigating Special Billing Cases: Leaves of Absence
OCTOBER 30, 2015
  Case studies and scenarios: Various types of audits
  [NEW WHITE PAPER] Tackling common billing challenges with case studies
AUGUST 17, 2018
  Case study: Consolidated billing, major category I
DECEMBER 7, 2018
CMS is preparing to cancel four mandatory episode payment models for common cardiac and orthopedi
Are things "better"? I suppose one could make the case that things have improved increm
OCTOBER 22, 2015
Case study Proctoring and FPPE: Doctors Hospital of Mante
AUGUST 26, 2015
JUSTCODING
  Bowel and bladder management Bowel and bladder management
FEBRUARY 1, 2014
Emergency management ASHE study offers guidelines for emergency power res
JANUARY 1, 2018
Improve your plans to manage the spread of pathogenic biological substances such as Legionella be
DECEMBER 4, 2017
Best practices for managing online criticism Keep calm and don't
NOVEMBER 1, 2014
 Family meetings are an important tool for any case manager. These meetings can help more ef
OCTOBER 20, 2015
  Modern Healthcare Risk Management
OCTOBER 9, 2015
  Medicare Managed Care Appeals & Grievances
Got apps? Case managers and other health professionals are increasingly turning to digital tools
Be prepared for renewed interest in your water management program and especially how it is design
JULY 17, 2018
Succeeding as a manager/director requires more than just knowing the ins and outs of GME. You mus
JANUARY 14, 2020
By Julie Mills, RN, MBA, senior manager, clinical solutions executive, PerfectServe
JANUARY 28, 2020
SEPTEMBER 3, 2014
JUSTCODING
SEPTEMBER 10, 2014
JUSTCODING
In case you haven’t heard, OSHA has been rather quietly avoiding implementing a rule that t
AUGUST 6, 2014
Every once in a while, someone asks me a question about why (or as is more the case here, "h
JANUARY 28, 2016
Q&A: Managing LS, EC, and EM documentation Editor
DECEMBER 20, 2016
Two more states, including Arizona, have reported cases of mosquito-borne Chikungunya virus, a fl
JULY 9, 2014
  RCS-1 CMS case-mix pre-rule: Get ready for big changes
  New proposed payment system, part I: Case-mix components drill-down
  How should we handle cases when there are diagnoses presented on the assessment that weren’t
Henry Schein Practice Solutions, Inc., a provider of office management software for dental practi
Be prepared for renewed interest in your water management program and especially how it is design
SEPTEMBER 1, 2018
You can expect renewed interest in your water management program. This summer, CMS sent out a ne
You can expect renewed interest in your water management program. This summer, CMS sent out a new
OCTOBER 1, 2018
Managing resident pain is an important aspect of care in any skilled nursing facility (SNF), but
JANUARY 17, 2020
By Christopher Cheney Safety, managing surgery backlogs, and 
JULY 1, 2020
Principles of time management can help nurses—particularly new graduate nurses—accomp
NOVEMBER 30, 2017
JANUARY 1, 2019
A new risk model provides a simple and inexpensive way to determine whether acute myocardial infa
Nurse management experts Shelley Cohen and Sharon Cox have cre
MARCH 10, 2016
A new interactive modeling tool developed by researchers at the University of North Caroli
AUGUST 7, 2014
The Federation of State Medical Boards (FSMB) last week announcd a completed draft of model legi
An estimated 30% of Medicare payments are now tied to alternative payment models that reward the
Advocates of the Nurse Licensure Compact hope that updated model legislation will encourage more
APRIL 28, 2016
by Crys Draconi, fellowship program manager at Women’s Health Institute, Cleveland Clin
AUGUST 11, 2020
DECEMBER 2, 2015
JUSTCODING
 This week’s updates include a new ACO dialysis model, new Medicare utilization and pa
The idea behind CMS’ Comprehensive Care for Joint Replacement model is that payments for
Dear readers, We’re now several months into our new publishing model for
AUGUST 25, 2017
The odds of the home health industry avoiding the Home Health Groupings Model in 2019 have worsen
  Post-Acute Care Has a Quality Management Problem
  Understanding and Promoting the Value of Chronic Care Management Services
JANUARY 27, 2017
  Optimizing Managed Care Partnerships to Maximize Clinical Outcomes
MARCH 16, 2018
  Product Spotlight: Essential Skills for Nurse Managers
NOVEMBER 29, 2018
By Velvet Thorne, LPN, CLNC, Population Management Trainer, HealthEC As p
FEBRUARY 19, 2020
A look at how local hospitals prepared for and managed the inclement weather
JANUARY 1, 2019
The CDC has confirmed the third American case of a mysterious respiratory virus known as M
MAY 21, 2014
Q: My office often has denials of evaluation and management (E/M) visits with our OB pa
MAY 14, 2014
JUSTCODING
Henry Schein Practice Solutions, Inc., a provider of office management software for dental practi
Under CMS’ new payment model to be imple-mented October 1, 2019, the Patient-Driven Pay-men
OCTOBER 5, 2018
In 10% of cases, patients placed on observation status pay more for their care than they would ha
Essential Skills f
APRIL 17, 2015
How patients assess their own pain is a key component to how hospitals are expected to manage pai
While I have little doubt that we will yet again revisit the management of ligature risks and beh
MAY 16, 2019
There was a far-ranging medication management discussion held at The Joint Commission’s 201
DECEMBER 1, 2018
The growth of managed care continues to grow due to the Medicaid expansion under the Affordable C
OCTOBER 24, 2014
In 2033, medical education will involve sophisticated simulation models, high-tech screening tool
NOVEMBER 15, 2013
The recession elevated the attractiveness of home-based services more than any other model of sen
The Pioneer Accountable Care Organization model is paying off in savings, according to the Center
"We have been mentored by most of our role models to use a single tool for handling our emot
SEPTEMBER 8, 2017
Credentialing A closer look at the management of expirabl
Train staff on rules about protecting patient privacy and prepare security personnel in case they
SEPTEMBER 28, 2017
A coding manager must be an effective team leader, efficiently balancing multiple responsi
AUGUST 20, 2014
JUSTCODING
  Proposed Rule Q&A with Reginald Hislop III, Managing Partner and CEO of H2 Healthcare, LLC
SEPTEMBER 4, 2015
  Accounting for Medicare A coinsurance from Medicaid or Managed Medicaid bad debt
AUGUST 2, 2017
  Managed care admissions: Bridging the communication gap between admissions and the business o
Strategies for Nurse Managers is now on
MAY 19, 2016
Malpractice claims continue to rise, with plaintiffs winning more cases that go to trial than eve
DECEMBER 17, 2020
The American Diabetes Association (ADA) released new guidelines that address diabetes management
FEBRUARY 5, 2016
by Crys S. Draconi, education manager for neurosciences at Tufts Medical Center and independe
AUGUST 10, 2018
Consult your emergency management plan when facing an impending storm, and update this plan with
  A coding manager must be an effective team leader, efficiently balancing multipl
SEPTEMBER 3, 2014
JUSTCODING
Now that CMS and The Joint Commission are placing greater emphasis on emergency management, this
JULY 29, 2015
 Contingency plans help manage the aftermath of disasters that impact facility opera
DECEMBER 15, 2016
If you’re looking for a better way to track peer review cases, mark Tuesday, June 10 on yo
DECEMBER 16, 2015
JUSTCODING
Deborah Collum, national director of revenue cycle management for Covenant Retirement Communities
NOVEMBER 9, 2018
The introduction of the Home Health Groupings Model (HHGM) into the proposed rule means preparing
by: Josh Poltilove Step up efforts to educate clinicians about M2020 (Management
The Joint Commission seeks public comment on a set of six draft patient blood management performa
MARCH 24, 2015
  Managing the Intergenerational Nursing Team is the nurs
FEBRUARY 25, 2016
Managing the Intergenerational Nursing Team is the nurse leader&rsquo
FEBRUARY 25, 2016
  Managing the Intergenerational Nursing Team is the nurs
FEBRUARY 25, 2016
Managing the Intergenerational Nursing Team is the nurse leader’s
FEBRUARY 25, 2016
Managing the Intergenerational Nursing Team is the nurse leader’s go-to source f
SEPTEMBER 1, 2016
State medical boards across the country have drafted a model law that would make it much easier
Managing a CDI department can be a daunting task. 
Managers should not assume that they can review every guideline, every item in Coding Clinic,
Emergency management ASPR-TRACIE resource provides guidance on planning for
JANUARY 2, 2019