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Multidisciplinary rounds are a good way to improve throughput, reduce length of stay and readmissions, and improve patient satisfaction, experts say.
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It seems that every year case managers are asked to take on more and more roles and functions. Every time a new rule or regulation comes out from the Centers for Medicare & Medicaid Services (CMS), administrators turn to case management as the group to take the new problem or task on. This translates to more work!
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Weekly extended stay rounds help move along patients who have issues and barriers to a timely discharge, experts say.
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Even if the patient standing in front of you obtained coverage on the Health Insurance Exchange Marketplace, the claim still could end up being denied.
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At University of Utah Health Care, a transition case manager acts as a liaison between the outpatient care team at community clinics and the inpatient care team.
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Trauma patients have a wide variety of presentations and acuity, and range from healthy patients with minor injuries to patients with extensive medical histories and major trauma.
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Many state Medicaid directors say the federal-state partnership has never been worse, due in part to proposed regulations from the Centers for Medicare & Medicaid Services (CMS) that would shift costs to states.
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Washington state currently is in "survival mode," struggling to preserve as much of its core state Medicaid program as possible, in the face of a staggering $5 billion shortfall.
