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Hello Kelly, did you ever find any information on this topic? ------------------------------ Elizabeth Earley RN, BSN Director of Case Management Deborah Heart and Lung Hospital Browns Mills NJ ------------------------------

Hello all, I am a new Director, we recently outsourced our UM during the week. We still use in-house UM review on the weekends. I am looking for an article or resource to support an average of admission and concurrent reviews in an 8-hour time frame. ...

Hello, CM has been without a manager for over a year. Asking for suggestions/recommendations on where to look for a temp CM Manager who can help us revamp this department. Specific temp agencies, consultants, etc. Any suggestion would be greatly ...

I would avoid a national benchmarking or comparison of avoidable days... doing this actually incentives people to not report avoidable days so they look better. The best option is to actually encourage tracking with the easiest process possible and to ...

Good questions. Prior to assuming the Traditional Medicare cover the SNF, because the patient is already under the authorization from the MA plan, they are obligated to continue to pay for the stay under that authorization, unless the services are ...

Our assistant staff are vital! They complete IMMs, arrange transportation, send post-acute referrals, scan patient choice letters into Epic, help with LTSS screening processing and getting these screenings to the county Medicaid Eligibility Workers, ...

If a patient is in a skilled nursing facility under a managed Medicare product for 2 weeks then switches to traditional Medicare A/B while in the facility (first of the month), can the patient use Medicare SNF days 1-20 provided they had a 3-night stay ...

Thank you! Those were my thoughts also but wanted to make sure. I appreciate your input! ------------------------------ Erin Roby BSN, RN RN- Director of Case Management Owensboro Health, Inc. OWENSBORO KY ------------------------------