With new regulatory pressures and a changing political landscape, the world of case management is changing. One trend you may notice is an increase in the number of outside organizations, such as physician's offices, insurance companies, and postacute facilities that are hiring their own case managers to help manage patients. These individuals are often referred to as liaisons.
If your organization is like many others, you may still have some unanswered questions about the 2-midnight rule. To get organizations up to speed, Medicare Administrative Contractor (MAC) teams are now providing education sessions nationwide. These sessions are designed to give organizations an overview of what to expect and how to comply.
Case managers can play an important role in the financial health of any organization and should take an active part in the revenue cycle, which includes all the administrative and clinical activities that contribute to the accurate and complete capture, management, and collection of patient service revenues from preadmission through discharge, says Stefani Daniels, RN, MSNA, CMAC, ACM, managing partner at Phoenix Medical Management, Inc., in Pompano Beach, Fla.
Post-traumatic stress disorder (PTSD) can occur after someone experiences, sees, or learns about a traumatic event (e.g., combat exposure, child sexual or physical abuse, terrorist attack, sexual/physical assault, serious accident, natural disaster). Most people experience some stress-related reactions after a traumatic event. A person whose reactions do not go away over time and disrupt his or her life may have PTSD.