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The biggest change made during the reorganization of Gaston Memorial Home Care in Gastonia, NC, was the multidisciplinary team approach in which nurses and therapists report to a clinical manager. Not only is this approach helpful for patient care management, but the streamlined approach makes it possible for the agency to file accurate Request for Anticipated Payments (RAPs) earlier than the old system that relied upon utilization review nurses to approve claims.

Clinical managers ensure accuracy, speed payments