When it comes to release of information (ROI), it may seem that exceptions are the rule. But you must know when you can and cannot release information to protect the privacy of your facility’s patients.
Increased ED volumes, changes in regulatory requirements, the required use of observation, and added scrutiny from the recovery audit contractors have made implementing an ED case management model essential.
Recruiting, retention, and turnover are challenging in any profession. Case management is no exception. Experienced, competent case managers are especially hard to find, says Wendy De Vreugd, RB, BSN, PHN, FNP, senior director of case management for West Region at Kindred Healthcare, Hospital Division, in Westminster, CA.
At Cabell Huntington (WV) Hospital (CHH), case managers are more than just chart reviewers, they are part of the physician team—a shift in perspective that improved the facility’s LOS and, arguably, its patient care.
Beatrice, 66, arrives at the long-term acute care (LTAC) hospital with end-stage renal disease (ESRD), hemodialysis, malnutrition, a stage IV coccyx decubitus ulcer, depression, and no family support.
Providers give Medicare beneficiaries the advance beneficiary notice (ABN) before they undergo an outpatient procedure that Medicare will likely not cover.
