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Love your liver, says Thelma King Thiel, chairwoman and CEO for Hepatitis Foundation International based in Silver Spring, MD. Thiel would like this statement to be as common as "Fasten your seatbelt."
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An oncology program, launched in January by Cigna HealthCare, provides members with cancer support through diagnosis, treatment, and survival.
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More than 800 people have been screened and more than 100 are being treated for previously undiagnosed hypertension thanks to a program sponsored by CareFirst BlueCross BlueShield conducted in barber shops and beauty salons in Baltimore's African-American community.
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Case management involvement in the documentation enhancement process can be limited to monitoring specific DRGs and collaborating closely with coding specialists to an environment where the case management department has staff whose entire focus is on documentation enhancement, asserts Lorraine Larrance, BSN, MHSA, CPHQ, CCM, manager with Pershing Yoakley & Associates, a Charlotte, NC, health care consulting firm.
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When it comes to coding, a rose by any other name may mean that your hospital isn't getting the reimbursement it deserves.
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When Nancy Skinner, RN, CCM, was diagnosed with lung cancer in 2004, she asked her health plan for a case manager to help her navigate through the health care system during treatment.
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Many top hospital decision makers still fail to recognize that case management is a core function of patient care, not an optional service that needs to prove return on investment, says Karen Zander, RN, MS, CMAC, FAAN, principal and co-owner of the Center for Case Management in South Natick, MA.
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With an eye to improving the health of their members over the long term, BlueCross and BlueShield of Tennessee has taken aim at childhood obesity.
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A case management program for members with chronic kidney disease provides one-on-one education that helps members of U-Care Minnesota manage their comorbid conditions and make lifestyle changes that slow the progression of the disease.
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One of the EMTALA-related questions he hears most frequently from providers is whether it is permissible to send patients to an urgent care setting following triage in the emergency department (ED), says Stephen Frew, JD, a web site publisher (www.medlaw.com) who specializes in interpreting the Emergency Medical Treatment and Labor Act.
