Tips from our featured course
Overall Influence of Case Management on the Revenue Cycle
"Improving Claims" is a focus on the capture of revenue through strategies to optimize reimbursement and lessen the impact of the medically uninsured/under-insured/indigent.
The case management program and its individual disciplines exert an impact on the revenue cycle through optimal resource management. The revenue cycle is an additionally affected through care coordination.
Optimal performance of care coordination and transitions of care are integral parts of a successful hospital revenue cycle.
[CM Express, Mod B, Improving Claims]
Intersection of Value and Quality: CM's Practice
Case management processes and the ability to optimize and effectively utilize scarce resources significantly impacts quality of care and fiscal performance.
The difference between an effective and ineffective case management department can translate into the viability of a hospital's or other healthcare organization's existence.
[Utilization Management, Module E, Key Quality Measures]