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  Monday Memo  
 

Weekly update from...
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Monday, May 26, 2014
  Clinical Accuracy Spoken Here  

EOL & Palliative Care Series

We are pleased to announce the following new course (300 + pages) is now available in the Athena Forum curriculum. All courses are specially designed to improve organizational performance in patient care, staff competencies and claims management.

EOL & Palliative Care Course includes:

  • Mod A: Evolving Role of EOL & Palliative Care

  • Mod B: Patient Goals & Care Planning

  • Mod C: Symptom Management

  • Mod D: Regulations & Reimbursements

  • Mod E: CM"s Role in EOL & Palliative Care
"


  Excellence in Case Mgmt  

MCO Single Case Agreements

Single Case Agreements (SCAs) are used when an out-of-network provider, which has no contractual agreements with an MCO, is either already in the process of delivering medically necessary emergency care or being considered for the provision of specific predefined services.

MCO CMs in concert with their HCM counterparts are an integral part of identifying opportunities for and formulating SCAs. These agreements are frequently developed through a combination of conference calls and electronic exchanges between the MCO and provider representatives.

[Reference: MCO Continuum, Module A, Prior Authorizations]
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  Improving Patient Care...  

MCO Single Case Agreements

Single Case Agreements (SCAs) are used when an out-of-network provider, which has no contractual agreements with an MCO, is either already in the process of delivering medically necessary emergency care or being considered for the provision of specific predefined services.

MCO CMs in concert with their HCM counterparts are an integral part of identifying opportunities for and formulating SCAs. These agreements are frequently developed through a combination of conference calls and electronic exchanges between the MCO and provider representatives.

[Reference: MCO Continuum, Module A, Prior Authorizations]
www.athenaforum.com


 

Tom RasmussenTom Rasmussen
Publisher
Athena Forum
Tom.Rasmussen@AthenaForum.com

 
 

NEW courses in Development

» Ethics in Case Management
» Breast Cancer Care
» Improving Outcomes in ESRD

 

 

Cathy WrightCathy Wright, BSN, RN
Clinical Editor
Athena Forum

Cathy.Wright@AthenaForum.com

 

 

Online CE for RN, CCM & LSW
4,000 pages of clinical excellence.

Clinical Excellence® Series
» Asthma
» Behavioral Health
» Colorectal Cancer
» COPD
» CV Risk: Stroke & MI
» Diabetes
» EOL & Palliative Care
» GI Disorders
» Heart Failure
» Multiple Sclerosis
» Obesity Management
» Pain Management
» Rheumatoid Arthritis
» Sepsis Care
» Women's Health
» Wound Care & Payments

CM Excellence® Series

» CM Express®
» Discharge Planning
» Hospital Revenue Cycle
» Patient Advocacy
» Population Health
» Principles of Hospital CM
» Professional Identity
» Utilization Management

 

 
 

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Tom Rasmussen, Publisher
Tom@AthenaForum.com

Enrollment & passwords
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