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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 term disease management has grown in popularity and widespread usage over the past decade to the point that it is assumed most case managers and related professionals know exactly what this term means. Although case managers may believe that they understand at least the basics of disease management, it is important to step back and carefully consider its definition and protocols.
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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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