Case Management Blog

2009 Case Management Monthly salary survey

Ben Amirault — Mon, 16 Nov 2009 20:13:24 +0000

We need your help. We at HCPro want to provide you with the salary information for case managers that you need in the most useful format. Please help us better understand your position by completing the 2009 Case Management Monthly Salary Survey. The survey results will be included in an upcoming issue of Case Management Monthly. The link [...]

Promoting efficient use of resources and appropriate hospitalization length of stay to physicians, a different approach

Glenn Krauss — Fri, 13 Nov 2009 04:01:16 +0000

Physicians sometimes acquiesce to family wishes and desires and admit a patient for “social” reasons. On the other hand, a physician may keep a patient in the hospital an extra day because the patient expresses a desire to stay just “one more day.” These unnecessary, avoidable hospital days have a material effect on potential revenue [...]

House approves healthcare reform bill

Case Management Weekly — Wed, 11 Nov 2009 18:50:15 +0000

The U.S. House of Representatives recently passed the healthcare reform bill (HR 3962) by a narrow margin (220–215).

The ZPICs have begun in zone 4

Ben Amirault — Fri, 06 Nov 2009 19:20:10 +0000

Health Integrity LLC, the zone four (Colorado, New Mexico, Oklahoma, and Texas) Zone Program Integrity Contractor (ZPIC), has begun requesting medical records for review.

Possible MIC audit issues that involve case management

Ben Amirault — Mon, 02 Nov 2009 22:01:29 +0000

It’s no longer just RAC, MAC, CERT, and ZPIC audits looking to ensure the accuracy of Medicare payments. Providers are also subject to increased scrutiny on the Medicaid side.

Listen to expert interpretation of Condition Code 44 regulations

Ben Amirault — Wed, 28 Oct 2009 18:31:23 +0000

For whatever reason questions like these continue to come up. Perhaps it’s the vaguely-worded regulation or the conflicting advice found on the internet. Whatever it is, people are confused.