insurance
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Post-acute care
Skilled Nursing Facility Covered Care: A Refresher
BY PAUL BORJA, RN, MBA, DNP, EdD, PhD, PHN, CCM, ACM-RN, CMAC, CMCN, CNML, CMGT-BC, CDONA, FACDONA, FAACM, AND TERESA…
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Insurance Coverage
In the Pursuit of Mental Health Parity Insurance Coverage
BY GARRY CARNEAL, JD, MA Treating diseases of the brain is as important as treating any physical ailment or condition. Yet,…
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Wearables
Wearable Robotics: From Cinema to Reality
BY KYLE J. WALKER, MHA, ATP The term wearables paints a very broad stroke, even for a healthcare canvas. Wearable can…
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Patient Communication
Communicating With Upset Clients: How To Effectively De-Escalate Over The Phone
BY SUSANNAH MARSHALL, BSN, RN-BC, CCM As a telephonic case manager for an insurance company, there are inevitably times when I…
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A Conversation With Tara N. Adams, LCSW, CCM
BY ANNE LLEWELLYN, MS, BHSA, RN, BC, CCM, CRRN Each month in the Legacy Leaders column, we meet a case management…
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International Case Management
International Case Managers Making A Difference: Germany
BY JOHANN ACHIM BEIßEL, MHA How One Case Manager Took a Health Insurance Company from Payer to Player It is the…
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Collaborative Care
Using “Collaborative Care” to Optimize Integrated Population Health
BY GARRY CARNEAL, JD, MA As a father and health insurance expert, I have been challenged to leverage my professional expertise…
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