Tips from our featured course
CM Express: How to Get Better, Timelier Data
The inpatient prior authorization process allows for identification of:
- Alternatives to proposed care
- Potential for reduction of inpatient days
- Pre-admission discharge planning potential
- Quality of care issues, especially with readmissions
"Case Managers must remember that collaboration and communication with other members of the transdisciplinary team are key actions in performing initial or prospective reviews and ultimately to facilitate early and effective transitions of care."
Teresa C Fugate, RN, BBA, CCM, CPHQ
Medicare STARS Strategic Consultant
[CM Express, Module C Effective Resource Management] www.athenaforum.com
Depression: Meticulous CC Leads to Cost Control
In the process of patient identification, assessment, goal setting and problem identification, monitoring and evaluation can be utilized to address the manifestations of depression that are reflected in poor quality of life (QOL), early mortality, exorbitant costs and high readmission rates.
Sustained cost control will occur only with meticulously coordinated care (CC) that prevents avoidable complications and hospital readmissions for patients with chronic illness.
[Depression, Module E CM Role] www.athenaforum.com