Inpatient Versus Observation Status

Inpatient Versus Observation Status
Author: Vivienne Martin
Publsiher: Unknown
Total Pages: 135
Release: 2021-05-31
Genre: Electronic Book
ISBN: 1943889139

Download Inpatient Versus Observation Status Book in PDF, Epub and Kindle

Inpatient vs. Observation status is a convenient pocket-size guide that equips admitting providers to determine a patient's admission status quickly, easily, and effectively. This pocket-sized guide contains tables and generally accepted guidelines for practitioners who admit patients. Each topic is usually covered on a single page, with an accompanying chart on the facing page, allowing for quick decision-making of the patient's admission status (inpatient versus observation). This makes it precise and easy to comprehend. By matching clinical findings with criteria charts, providers are able to quickly and easily determine if a patient is appropriate for inpatient or observation admission status. In addition, by providing tips for documentation you are able to write the correct admission orders initially, avoiding the headaches of time-consuming changes later, penalties, and/or loss of revenue.This pocket-size guide is ideal for physicians, medical students, interns, residents, NPs, PAs, dentists, and anyone else responsible for assigning the correct admission status.

Nursing Case Management

Nursing Case Management
Author: Elaine Cohen,Toni G. Cesta
Publsiher: Elsevier Health Sciences
Total Pages: 650
Release: 2004-08-26
Genre: Medical
ISBN: 0323027652

Download Nursing Case Management Book in PDF, Epub and Kindle

This classic resource offers complete coverage of nursing case management - from theoretical background and historical perspective to practical applications and how the field is changing to meet the challenges of today's health care environment. It focuses on the implementation of various case management models used throughout the United States and abroad. Key topics include the impact of public policy on health care; understanding the effects of health care reimbursement and its application at the patient level; throughput and capacity management; the impact of the revenue cycle; compliance and regulatory issues; and principles needed to improve case manager-client interaction. This helpful resource is designed to help nurse case managers assess their organization's readiness for case management, prepare and implement a plan to achieve necessary improvements and evaluate the plan's success. Includes numerous proven case management models currently being used in institutions across the country Organized to take the nursing case manager on a journey from the historical development of nursing case management to the successful implementation of a case management program Offers detailed guidance for planning, implementing, and evaluating a case management program Outlines the planning process with information on key topics such as analysis of the organization, the role of the organization's members, selection criteria for new case managers, case management education, credentialing, and partnerships Features guidelines for implementing a case management program with information on ethical issues, technology, compliance, and regulatory issues Addresses the evaluation component of developing and implementing a case management program by presenting information on outcomes, research, documentation, continuous quality improvement, measuring cost effectiveness, care continuum, and evidence-based practice Presents acute care and community based models of case management Highlights the evolution of collaborative models of case management, addressing key elements of joint decision-making, shared accountability, and interdisciplinary systems of care Addresses health care delivery through case management and public policy by presenting current legislative issues and their affect on both health care reimbursement and the application of care at the patient level Presents the insights, experiences, and advice of nursing administrators who have researched and successfully implemented nursing case management programs in various facilities

Case Management

Case Management
Author: Suzanne K. Powell,Hussein M. Tahan
Publsiher: Lippincott Williams & Wilkins
Total Pages: 400
Release: 2018-02-26
Genre: Medical
ISBN: 9781496384263

Download Case Management Book in PDF, Epub and Kindle

Prepare for a new career as a case manager—or just upgrade your skills to a whole new level—with the newly updated Case Management: A Practical Guide for Education and Practice, 4th Edition. Ideal for case management certification (CCMC) exam preparation, this is a thorough review of the case manager’s many roles and skills, from acute to post-acute care. Whether you are a nurse transitioning to case management or already active in it, this is your road map to coordinating successful patient care, from hospital to home. Build a strong case management career foundation, with expert, evidence-based direction: NEW chapter on case manager orientation programs that offers orientation checklists, competency assessment, and learning profiles, with available online tools NEW topics on current practice issues and developments, including the impact of the Patient Protection and Affordable Care Act and value-based care NEW content on experiential, problem-based learning—learning practices, training programs, case management team professional development Offers in-depth, evidence-based guidance on: The case manager’s roles, functions, and tasks Key concepts—quality management and outcomes evaluation, legal and ethical considerations, case management process, utilization management, transitions of care The role of the nurse case manager versus social worker role Strategies that ensure effectiveness of case management models Coordinating care, protecting privacy and confidentiality, health insurance benefit analysis, practice standards The Case Management Code of Professional Conduct, accreditation agencies and standards, specialty board certifications Management of resources and reimbursement concepts Case management in various settings—acute care, emergency department, admissions, perioperative services, disease management, insurance case management, palliative care, end-of-life care, hospice, home health care, physician groups, public health/community-based care, rehabilitation Ideal preparation for the CCMC exam—offers a large portion of CCMC exam content—and for Continuing Education Unit (CEU) for Case Management study A must-have desk reference that offers plentiful case studies—considered to be “the bible” of case management

Emergency Medicine Secrets

Emergency Medicine Secrets
Author: Katherine M. Bakes,Jennie A. Buchanan,Maria E. Moreira,Richard Byyny,Peter T. Pons
Publsiher: Elsevier Health Sciences
Total Pages: 814
Release: 2021-05-20
Genre: Medical
ISBN: 9780323694742

Download Emergency Medicine Secrets Book in PDF, Epub and Kindle

For more than 30 years, the highly regarded Secrets Series® has provided students and practitioners in all areas of health care with concise, focused, and engaging resources for quick reference and exam review. Emergency Medicine Secrets, 7th Edition, offers practical, up-to-date coverage of the full range of essential topics in this dynamic field. This highly regarded resource features the Secrets’ popular question-and-answer format that also includes lists, tables, pearls, memory aids, and an easy-to-read style – making inquiry, reference, and review quick, easy, and enjoyable. The proven Secrets Series® format gives you the most return for your time – succinct, easy to read, engaging, and highly effective. Fully revised and updated throughout, including protocols and guidelines that are continuously evolving and that increasingly dictate best practices. New chapter on Professionalism and Social Media Applications. Expanded coverage of cost-effective emergency medicine, as well as weapons of mass destruction including chemical, biologic, and radiologic weapons; explosives; and tactical medicine.?? Top 100 Secrets and Key Points boxes provide a fast overview of the secrets you must know for success in practice and on exams. Bulleted lists, mnemonics, practical tips from leaders in the field – all providing a concise overview of important board-relevant content. Multiple-choice questions online provide opportunities for further self-assessment. Portable size makes it easy to carry with you for quick reference or review anywhere, anytime.

The Cost of Cutting

The Cost of Cutting
Author: Paul A. Ruggieri M.D.
Publsiher: Penguin
Total Pages: 320
Release: 2014-09-02
Genre: Business & Economics
ISBN: 9780698143814

Download The Cost of Cutting Book in PDF, Epub and Kindle

Why is surgery so expensive? Surgeon Paul A. Ruggieri reveals little-known truths about his profession—and the hidden flaws of our healthcare system—in this compelling and troubling account of real patients, real doctors, and how money influences medical decisions behind the scenes. Even many well-informed patients have no idea what may be contributing to the cost of their surgery. With up-to-date research and stories from his practice, Ruggieri shows how business arrangements among hospitals, insurance companies, and surgeons affect who gets treatment—and whether they get the right treatment. Pulling back the curtain from the hospital bed, he explains how to safeguard one’s own health (and finances), and how America can make surgery more affordable for all without sacrificing quality care.

Observation Services Third Edition

Observation Services  Third Edition
Author: Deborah K. Hale
Publsiher: HC Pro, Inc.
Total Pages: 181
Release: 2011-04-21
Genre: Medical
ISBN: 9781601468017

Download Observation Services Third Edition Book in PDF, Epub and Kindle

Observation services insight from the industry's top expert Here is the essential guide for understanding observation services and the most recent regulatory guidance for inpatient admission. Author Deborah K. Hale, CCS, CCDS, uses case studies and real-life examples to examine regulatory guidelines and fiscal management, and also explains how to manage multiple payers and find an easier way to achieve reimbursement for observation services. You will also learn about the roles of nurses and physicians in observation services and how to foster an effective team approach for compliance and appropriate reimbursement. With your copy of Observation Services, Third Edition, you'll learn how to: * Assign proper level of care using real-life case studies * Implement an effective and compliant policy in accordance with the Medicare rules for observation services and instruction * Implement a payer-specific policy in compliance with the multiple payers' rules for observation services and instruction * Determine improvement opportunities and understand how to use internal and external data * Decipher the dos and don'ts for Condition Code 44 What's new in the Third Edition? * CMS and American Hospital Association interaction regarding observation use * Updated guidelines on the process for use of Condition Code 44 and proper billing * The 2011 version of ST PEPPER * New and improved strategies for accurate billing * New examples of provider liable claims * New CMS instructions required for payment * New policy and procedure examples and case studies Topics covered include: * Determining the right level of care * The consequences of incorrect level of care determination * Correcting level of care determinations * Condition Code 44 * Using data to determine improvement opportunities * The role of the physician advisor * Strategies for achieving accurate reimbursement * The Medicare appeals process Downloadable tools include: * Appeal letter templates * Level of care decision-making flowchart * Revised PEPPER report example * Observation pocket card reference * UR physician documentation templates for Condition Code 44 * Transmittal 299 Condition Code 44 * MLN Matters Clarification Condition Code 44 SE0622 Here are just a few of the tools and forms you'll find in Observation Services, Third Edition. * Appeal letter templates and sample reports * Site of service decision-making flowchart * Non-physician review worksheet * Transmittal 299 Condition Code 44 * MLN Matters Clarification Condition Code 44 SE0622 * Top volume Medicare MS-DRGs You'll receive instructions to download these and all of the forms and tools so you can use them right away!

Discharge Planning Handbook for Healthcare

Discharge Planning Handbook for Healthcare
Author: Ali Birjandi,Lisa M. Bragg
Publsiher: CRC Press
Total Pages: 208
Release: 2008-08-07
Genre: Medical
ISBN: 142009534X

Download Discharge Planning Handbook for Healthcare Book in PDF, Epub and Kindle

Hidden opportunities to improve profits in the healthcare industry abound in the area of discharge planning. The Discharge Planning Handbook for Healthcare: Top Ten Secrets to Unlocking a New Revenue Pipeline provides innovative new solutions that will show hospital administrators how to turn one of the most antiquated aspects of healthcare into one of the most productive. The performance-improvement concepts and approaches discussed in this volume balance all aspects of existing business models and provide a new approach to managing the discharge planning process. Management engineer and Six Sigma Black Belt Ali Birjandi and registered nurse and administrative director Lisa M. Bragg employ innovative solutions to help readers: Redefine the concept of discharge planning Assign the proper metrics The COS-Q snapshot – a new tool for success Employ Lean concepts in redesign Apply a practical approach to improvement Create a culture that produces results An extended case study invites managers and administrators to take an interactive approach to the learning and applying of these concepts. A spreadsheet tool is included to help readers stay on task in their quest to improve efficiency and quality of care. The approach and methods taught in this book have led to dramatic results in a number of institutions. When adopted by your organization, they can help to improve performance and boost revenue.

Observation Medicine

Observation Medicine
Author: Sharon E. Mace
Publsiher: Cambridge University Press
Total Pages: 817
Release: 2017-03-16
Genre: Medical
ISBN: 9781107022348

Download Observation Medicine Book in PDF, Epub and Kindle

This guide to successful practices in observation medicine covers both clinical and administrative aspects for a multinational audience.