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If an employee is absent more often and supervisors report an impaired work performance, suspect depression.
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The unauthorized release of employee health information can result in civil, and sometimes criminal, liability under both federal and state laws. For example, covered individuals under the Health Insurance Portability and Accountability Act (HIPAA) face civil fines ranging from $100 to $25,000, depending on one's level of intent. Criminal penalties include fines ranging from $50,000 to $250,000 and imprisonment of up to 10 years.
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A collaborative effort between Keystone Mercy Health Plan and local hospitals to provide care coordination for Medicaid members is helping reduce health care gaps and emergency department and inpatient utilization.
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When patients do not have a payer source for the post-acute services they need, you may be putting providers at risk of fraud if you work with them to provide free or voluntary services, warns Elizabeth E. Hogue, Esq.
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Depression isn't typically the first complaint a worker presents to their occupational health professional. In fact, an employee is likely to conceal this from you.
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Have you ever been put into the uncomfortable position of being asked for confidential health information about an employee by a senior leader or administrator? Be ready for this "sticky situation," as it may violate patient privacy regulations, says Patricia B. Strasser, PhD, RN, COHN-S/CM, FAAOHN, principal of Partners in BusinessHealth Solutions in Toledo, OH.
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Assistive technology can make life better for everyone and help people live independently in a safe environment, whether they have a catastrophic illness or injury or are elderly with cognitive and/or vision issues, says Hunter Ramseur, MEd, LPC, CDMS, ATP, principal of Atlanta-based Assistive Technology Consulting LLC.
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Once the details are ironed out, health care reform will offer great opportunities for case managers in a variety of settings, says Margaret Leonard, MS, RN-B, C, FNP, senior vice president for clinical services at Hudson Health Plan and outgoing president of the Case Management Society of America (CMSA).
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Medicaid recipients who are "frequent fliers" are getting help with their medical, behavioral health, and psychosocial needs through a pilot project developed by Hudson Health Plan and the New York State Department of Health.
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Trying to determine exactly what drives your biggest workers' compensation costs? The devil is in the details.
