Quality Inpatient Management Of
Found 7 free book(s)
The Management of Diabetic Ketoacidosis in Adults*
abcd.careManagement of adults with diabetes undergoing surgery and elective procedures: ... planning, organising and delivering high quality diabetes inpatient care. There remains, however, an individual responsibility of healthcare professionals to make decisions
Utilization Management as a Cost-Containment Strategy
www.cms.govinpatient care), and a small but growing body of scientifically rigorous analytic work evaluating its impact on utilization, costs, and quality. This literature is briefly summarized here. The primary concern of this article is the future of UM. The two critical questions of concern are: Will externally run public and private UM programs continue?
Evidence for Peer Support May 2018 The Case for Peer Support
www.mhanational.orgcost of mental health services by reducing re-hospitalization rates and days spent in inpatient services, increasing the use of outpatient services. Peer support imp roves quality of life, increases and improves engagement with services, and increases whole health and self-management. This
RESOURCE GUIDE TO CASE MANAGEMENT - Optum
cdn-aem.optum.comJan 01, 2016 · inpatient admissions that do not satisfy the two-midnight benchmark, if the documentation in the medical record supports the admitting physician’s determination that the patient requires inpatient hospital care” (80 FR 70545) (emphasis added). • Each inpatient admission, regardless of the length of stay expectation,
Per Diem Payments to Hospitals for Inpatient Stays
www.urban.orgMay 03, 2016 · risk to prefer per diems to DRGs. Medical groups at risk for inpatient hospital services now have direct interest not only in avoiding inpatient care through more vigilant and higher-quality ambulatory care, but also in using less-intensive and less-costly sites of service. In addition, medical group personnel can
Transitional Care Management Services
www.cms.govTransitional Care Management Services. MLN Booklet Page 2 of 12. ... which begins when a physician discharges the patient from an inpatient stay and continues for the next 29 days. Medicare may cover these services to . ... culture of equity, …
Care Management chapter of BCN Provider Manual
ereferrals.bcbsm.com8-2 BCN Provider Manual March 2019 Chapter 8: Care Management Overview of BCN Utilization Management Scope of chapter This chapter applies to BCN HMOSM (commercial) products, BCN AdvantageSM HMO-POS products (group products and Basic, Classic, Elements and Prestige individual products) and BCN AdvantageSM HMO products (BCN Advantage SM HMO ConnectedCare, BCN …