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When CIGNA members being treated by Piedmont Physicians Group in Atlanta are high-risk or noncompliant, Jennifer Farlow, RN, BSN, clinical care coordinator, contacts them and helps them get back on track for regular visits and recommended tests and procedures.
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In Cheyenne, WY, a regional medical center, a small health plan, and a community-based provider group are working together to develop an accountable care organization with the goal of reducing fragmentation, waste, and variance in care.
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You probably get the feeling, more often than you'd like, that there is more to the story than what a worker is telling you about an injury. There are several possible reasons for the facts not adding up.
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Patient education managers faithfully assess written materials to make sure they are appropriate for people with low health literacy or poor reading skills.
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As health care organizations tighten their belts to deal with today's health care environment, case managers report working harder with fewer raises and benefits.
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The Centers for Medicare & Medicaid Services (CMS) has created a bevy of new payment classifications for fiscal year 2006, making it more imperative than ever for case managers to make sure procedures are documented properly.
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The Centers for Medicare & Medicaid Services (CMS) has made changes to the Inpatient Prospective Payment System which could have a major impact on your hospitals reimbursement for certain procedures.
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Creating a special unit just for short-stay cardiac patients at Sioux Valley Hospital USD Medical Center has resulted in shorter lengths of stay and a tremendous increase in satisfaction among patients who are ready to be discharged within 24 hours from the Sioux Falls, SD, tertiary care hospital.
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When patients are referred to the Ralph Lauren Center for Cancer Care and Prevention in East Harlem, NY, they are met on their initial visit by a patient navigator whose job is to ensure that they receive a timely diagnosis and treatment.
