Hospital Case Management articles from February 2008

Hospital Case Management archives from February 2008

OPPS final rule expands observation services, requires quality reporting.(Outpatient Prospective Payment System)
February 1, 2008... OPPS final rule expands observation services, requires quality reporting CMS moves toward packaged payments The Centers for Medicare & Medicaid Services (CMS) has announced sweeping changes to the Outpatient Prospective Payment System...

Outpatient payments to be linked to quality reporting.
February 1, 2008... Outpatient payments to be linked to quality reporting Hospitals must report on seven measures in 2008 In its final rule for the Outpatient Prospective Payment System for calendar year 2008, the Centers for Medicare & Medicaid Services...

UPMC denial management program saves $1 million.
February 1, 2008... UPMC denial management program saves $1 million Central department handles retrospective appeals A multilevel denials management process generates $1 million or more in recovered revenue annually for inpatient accounts at the...

Critical Path Network: Six Sigma projects add efficiency to discharge process.
February 1, 2008... Critical Path Network Six Sigma projects add efficiency to discharge process Hospital system improves patient throughput Six Sigma projects at Sharp HealthCare hospitals have dramatically shortened the time that elapses between the...

Critical Path Network: Program increases patient, family involvement.
February 1, 2008... Critical Path Network Program increases patient, family involvement Patient safety initiative honors NPSG Increased patient involvement in their own care is encouraged by The Joint Commission and other organizations as one of the...

Medicare compliance team reduces denials.
February 1, 2008... Medicare compliance team reduces denials CMs collaborate with physician advisor company Having a team of case managers dedicated to Medicare compliance reduced the number of admission denials from 221 in 2006 to just two by late...

Ambulatory Care Quarterly: More patient-friendly bills ongoing industry goal.
February 1, 2008... More patient-friendly bills ongoing industry goal Discrepancies often undetected Making patient bills more user-friendly — not to mention ensuring that they are actually accurate — continues to be a focus in the health care...

CNE objectives/questions.
February 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; ...