Friday, March 17, 2017
How many times have we all heard (or asked) "What is the ‘average’ caseload?" Sounds like a simple question, doesn't it However, case management programs have struggled for years trying to determine realistic, standard caseloads. People are looking for "a number" that defines the average caseload, but in reality, there is no "magic" number.
Thursday, December 29, 2016
On October 31, 2014, the Centers for Medicare and Medicaid Services (CMS) released the 2015 Medicare Physician Fee Schedule (MPFS) Final Rule, which establishes payment levels and policy changes for Medicare Part B services.
Thursday, December 15, 2016
Easing patient transitions and decreasing readmission rates are key priorities in the health care industry, as we strive to improve clinical outcomes and reduce costs. Case managers are often a primary conduit to a safe and effective transition process for those moving through the care continuum, which puts them in a unique position to provide invaluable education and support to patients along the way.
Saturday, December 3, 2016
Cybersecurity is the responsibility of the Information Technology (IT) team, right? Nurses don’t have to worry about that, right? WRONG! While IT may be responsible for managing the overall cybersecurity of an organization, each of us has an individual responsibility to be aware of cybersecurity, how it impacts health care and the privacy of our patients, and what procedures we need to follow to assure safe security practices. This article is the first in a series of three that will discuss these topics and how they relate to our individual role as case managers.
Friday, November 18, 2016
Regardless of the population type, all self-insured organizations are looking for strategies that will decrease costs (both short term and long term) while improving quality. Continue reading to learn more about utilization management, population health management and the role of the TPA in this marketplace.