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The Centers for Medicare & Medicaid Services (CMS) has announced significant changes in the inpatient prospective payment system, including interim steps toward a comprehensive revision of the DRG model to tie reimbursement more closely to the severity of the patient's condition.
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In its final inpatient prospective payment system (PPS) regulations for fiscal year 2007, the Centers for Medicare & Medicaid Services (CMS) has included some "modest" changes to the Emergency Medical Treatment and Labor Act (EMTALA) regulations, says M. Steven Lipton, an attorney with Davis Wright in San Francisco.
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With the Office of the Inspector General (OIG) announcing its intention to cut down on Medicaid and Medicare fraud, it is more important than ever for case managers to make sure that they report any fraudulent conduct and carefully document it to avoid being held responsible, Elizabeth Hogue, Esq., suggests.
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This month, St. Joseph's Medical Center in Towson, MD, will begin discharging patients by appointment, in the latest phase of a three-year effort toward capacity maximization, says Jackie Connor, RN, MS, CCS, director of case management.
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Lift equipment sits unused in a closet. Safety needles are deposited in a sharps container without being activated. An employee fails to put on goggles when there's a risk of a body fluid splash.
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Fueled by anger and frustration often linked to the death or injury of a loved one, a grass-roots consumer movement is arising nationally to demand more openness and accountability about hospital-acquired infections.
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The demands of the job for a patient education manager or coordinator seem to be increasing.
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Similar to teaching, documentation must meet the needs of a patient. While some documentation is better than no documentation, more detail benefits the patient because it directs staff members on the status of the education process.
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At Children's Healthcare of Atlanta, a special team called the documentation council routinely reviews a number of medical record forms, including the interdisciplinary patient and family education record.
