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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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When patients were evacuated from Sumter Regional Hospital in Americus, GA, after an F3 tornado hit on March 1, 2007, a temporary treatment center was set up next to the shelter area inside the town's First Baptist Church.
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After an F3 tornado severely damaged Sumter Regional Hospital in Americus, GA, and led to an evacuation of all patients, Phoebe Putney Memorial Hospital in Albany, GA, was designated as one of the accepting hospitals. During the evacuation, Phoebe Putney accepted 45 patients, which included inpatients and emergency patients from Sumter Regional.
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When Sumter Regional Hospital in Americus, GA, was severely damaged by an F3 tornado, one thing administrators didn't have to worry about was keeping their web page updated with disaster information.
