Hospital Case Management articles

Recent articles from Hospital Case Management

Preparation is the key to staying ahead of the curve during RAC reviews.
July 1, 2009... Preparation is the key to staying ahead of the curve during RAC reviews CMs can have major role in assuring records are accurate, complete The more your hospital does up front to prepare for Medicare's Recovery Audit Contractor (RAC) program, the more money it will save in the long...

Early days of RAC reviews are the easiest.
July 1, 2009... Early days of RAC reviews are the easiest Proactive approach helps hospitals succeed Don't get a false sense of security if the Recovery Audit Contractor (RAC) process seems easy at first, warns Brian Flood, CHC, CIG, Esq., advisory managing director for KPMG LLP's health care...

RACs focus on details, admission orders.(recovery audit contractor )
July 1, 2009... RACs focus on details, admission orders Focus on level-of-care orders During the Recovery Audit Contractor (RAC) demonstration project, the auditors were extremely focused on the level-of-care orders to the point of denying admissions that did not have a clear admission order such as...

CMs' role in a pandemic is to keep patients educated.
July 1, 2009... CMs' role in a pandemic is to keep patients educated Help them stay healthy and avoid exposure Case managers can play a vital role in the event of a pandemic by educating their patients on how to stay healthy and avoid exposure to disease. "Case managers are really instrumental...

Critical Path Network: Create an appropriate discharge plan to avoid lawsuit.
July 1, 2009... Critical Path Network Create an appropriate discharge plan to avoid lawsuit Case managers may have liability for negligent, premature discharges Case managers are under pressure to discharge patients as quickly as possible from the acute care hospital, but they may have liability...