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Brace yourself for Medicare's Recovery Audit Contractors.
April 1, 2008... Brace yourself for Medicare's Recovery Audit Contractors
Demonstration project is being expanded nationwide
Now that the Centers for Medicare & Medicaid Services (CMS) is rolling out its Recovery Audit Contractors (RAC) project...
Throughput plan focuses on long-stay patients.
April 1, 2008... Throughput plan focuses on long-stay patients
Team looks at discharge options
In the first year of Saint Luke Hospital's initiative to improve throughput for long-stay patients, the length of stay for those patients dropped by 0.5 days...
Community CMs get medical care for needy.
April 1, 2008... Community CMs get medical care for needy
Hospital partners with free primary care clinic
Through a partnership with a community free clinic, a community case management program at Hoag Memorial Hospital Presbyterian in Newport Beach,...
Critical Path Network: LOS project drops ED stay for low-risk chest pain patients.
April 1, 2008... Critical Path Network
LOS project drops ED stay for low-risk chest pain patients
Team focused on delays in testing
At the end of a project to improve throughput in the emergency department, the length of stay for patients with...
Critical Path Network: High-tech hospital gives staff more patient time.
April 1, 2008... Critical Path Network
High-tech hospital gives staff more patient time
Notebook computers provide real-time info
At Dublin (OH) Methodist Hospital, the clinical staff carry notebook computers into patient rooms, communicate through...
Access Management Quarterly: Script 'introducing' DPs aids in 'Message' delivery.
April 1, 2008... Script 'introducing' DPs aids in 'Message' delivery
Two audits also part of process
Two new auditing processes and a script for "introducing" discharge planners to their patients are the latest innovations at Stevens Hospital in...
Director creates script for use in bed control.
April 1, 2008... Director creates script for use in bed control
Aim is to avoid 'negative connotation'
At California Hospital Medical Center in Los Angeles "we never want [staff] to say, 'We do not have any beds,'" says Elizabeth Oliver, director for...
Rule does not cover where patients can go.
April 1, 2008... Rule does not cover where patients can go
A fee schedule change affecting payment for ground ambulance charges under Section 414 of the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003 provides increased...
CNE objectives/questions.
April 1, 2008... CNE objectives
After reading each issue of Hospital Case Management, the nurse will be able to do the following:
*identify particular clinical, administrative, or regulatory issues related to the profession of case management;
...