Hospital case management : the monthly update on hospital-based care planning and critical paths最新文献

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Project to Improve Throughput Cut Length of Stay, Helped Bottom Line. 提高产量的项目缩短了停留时间,提高了利润。
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引用次数: 0
Know the Payer Rules to Maximize Reimbursement. 了解付款人规则,最大限度地报销。
{"title":"Know the Payer Rules to Maximize Reimbursement.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79972,"journal":{"name":"Hospital case management : the monthly update on hospital-based care planning and critical paths","volume":"24 8","pages":"111-12"},"PeriodicalIF":0.0,"publicationDate":"2016-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36416536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
CMS Issues Temporary Halt to Short Stay Reviews. CMS发布临时停止短期停留审查。
{"title":"CMS Issues Temporary Halt to Short Stay Reviews.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79972,"journal":{"name":"Hospital case management : the monthly update on hospital-based care planning and critical paths","volume":"24 8","pages":"112-13"},"PeriodicalIF":0.0,"publicationDate":"2016-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36416034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Case Management-Revenue Cycle Partnership Pays Off. 案例管理-收益周期伙伴关系的回报。
{"title":"Case Management-Revenue Cycle Partnership Pays Off.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79972,"journal":{"name":"Hospital case management : the monthly update on hospital-based care planning and critical paths","volume":"24 8","pages":"113-14"},"PeriodicalIF":0.0,"publicationDate":"2016-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36416035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Case Managers are Link Between Clinical, Financial Sides. 病例管理人员是临床和财务方面的纽带。
{"title":"Case Managers are Link Between Clinical, Financial Sides.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>As reimbursement tightens and payers issue ever-changing rules, it’s essential for hospital case managers to be involved in the revenue cycle by managing patients on admission, or even before they arrive, and following them through their hospital stay, ensuring that payer requirements are met so the hospital can get appropriate reimbursement.\u0000• Case management directors should meet regularly with representatives of the financial side of the hospital to discuss reimbursement issues and review the portion of insurance contracts that relate to the responsibilities of case managers.\u0000• Case managers should cover all access points of the hospital to prevent denials before they occur by ensuring patients meet inpatient criteria and are place in the right status.\u0000• Case managers should review every patient every day to make sure the days of hospitalization are authorized, that appeals are conducted concurrently, and that the discharge plan continues to meet the patient’s needs.\u0000• Hospitals need to provide continuous education to make sure that case managers understand the changing payer rules and regulations to know what each payer requires, and how and when to appeal.</p>","PeriodicalId":79972,"journal":{"name":"Hospital case management : the monthly update on hospital-based care planning and critical paths","volume":"24 8","pages":"105-8"},"PeriodicalIF":0.0,"publicationDate":"2016-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36416525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Take a Proactive Approach to Managing Denials Before They Occur. 在拒绝发生之前,采取积极主动的方法来管理它们。
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引用次数: 0
Review Every Patient, Every Day to Ensure Appropriate Reimbursement. 每天检查每个病人,确保适当的报销。
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引用次数: 0
CASE MANAGEMENT INSIDER. Re-Engineering Your Case Management Department: It's Simple, It's Just Not Easy, Part 1. 个案管理内部人士。重新设计您的案例管理部门:它很简单,只是不容易,第1部分。
Toni Cesta
{"title":"CASE MANAGEMENT INSIDER. Re-Engineering Your Case Management Department: It's Simple, It's Just Not Easy, Part 1.","authors":"Toni Cesta","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This month, we have begun our discussion of the reasons why this is a very good time for hospitals to review and re-engineer their case management models and departments, including the Affordable Care Act and value-based purchasing, among others. Next time, we will discuss the elements you need to review when re-engineering your own case management department.</p>","PeriodicalId":79972,"journal":{"name":"Hospital case management : the monthly update on hospital-based care planning and critical paths","volume":"24 7","pages":"95-8"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34745325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Fresh Policies and Procedures, Transparency Fuel ED Turnaround. 新的政策和程序,透明度推动了教育转型。
{"title":"Fresh Policies and Procedures, Transparency Fuel ED Turnaround.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79972,"journal":{"name":"Hospital case management : the monthly update on hospital-based care planning and critical paths","volume":"24 7","pages":"102-3"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34745330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Individual Malpractice Insurance Can Protect You in Case of Lawsuits. 个人医疗事故保险可以保护你在诉讼的情况下。
{"title":"Individual Malpractice Insurance Can Protect You in Case of Lawsuits.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In today's litigious society, case managers should have their own malpractice insurance to protect their assets, experts say. Attorneys cast a wide net and often include anyone who has interacted with the patient in malpractice lawsuits. When CMS' new discharge planning guidelines go into effect, case managers will be vulnerable to Lawsuits if discharges are unsuccessful. The hospital's legal counsel will not necessarily represent the case manager's best interests, which is why case managers need their own malpractice coverage.</p>","PeriodicalId":79972,"journal":{"name":"Hospital case management : the monthly update on hospital-based care planning and critical paths","volume":"24 7","pages":"100-1"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34745327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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