Hospital Case Management – September 1, 2015
September 1, 2015
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Get ready: Bundled payments are in your future
The Centers for Medicare & Medicaid Services’ mandatory bundled payment pilot project makes clear that the agency intends to reform Medicare reimbursement.
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New payment models require a shift in thinking
Under the DRG payment system, case managers have been pressured to get patients out of the hospital as quickly and safely as possible, but that’s not the case in bundled payment arrangements.
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Adequate CM staff is vital as reimbursement models change
Case managers can’t do what is necessary to help their hospital succeed under the new global payment models if they are busy juggling care coordination for 25 or 30 patients.
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Bundled payment initiative means eliminating silos, standardizing care
The bundled payment arrangement at Abington-Jefferson Health in Pennsylvania has improved communication between all members of the treatment team and eliminated silos between the inpatient and outpatient sides of the hospital.
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CMS proposes to OK one-midnight inpatient stays
CMS has proposed that stays shorter than two midnights be reimbursed as inpatient stays if the documentation in the medical record supports it.
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The Top 10 Mistakes You May Be Making In Your Case Management Department! Part 3
This month, we will be discussing three more of the top 10 mistakes that your department may be making and how to potentially improve or eliminate them.
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TJC, medical societies warn of EHR safety issues
In a recent Sentinel Event Alert, The Joint Commission warned of how incorrect or miscommunicated information entered into health IT systems might result in adverse events.
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Can you teach doctors to improve patient satisfaction?
A study in the Journal of Hospital Medicine may give hope to physicians and the hospitals where they work that they can learn the skills needed to improve the scores related to their interactions in the Hospital Consumer Assessment of Healthcare Providers and Systems surveys.