Browsing: regulations

Workers’ compensation
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Workers’ Compensation Case Management: Demonstrating Outcomes and Achieving Goals

BY MARYANN OTT, RN, BSN, CCM, CPC, AND ANNE LLEWELLYN, MS, BHSA, RN, CCM, CRRN, CMGT-BC, BCPA, CM FELLOW
Determining outcomes in workers’ compensation case management comes down to knowing the rules in your state, the organization you work for and the needs of the injured worker. In this article two seasoned workers’ compensation case managers talk about how you can demonstrate the outcomes and achieve goals in this dynamic area of case management.

COVID-19
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Covid Waivers 1135 in the Year 2023: Will They Continue?

BY JENNY QUIGLEY-STICKNEY, RN, MSN, MHA, MA, CCM, ACM-RN, CPHM, CMAC
CMS 1135 pandemic waivers give healthcare providers throughout the COVID pandemic the ability to relax legal standards for Conditions of Participation and transitions of care. Allowing the healthcare industry flexibility with current CMS Conditions of Participation rules for managing transitions of care has increased fluidity and speed of transition for patient care.

Past President's Corner
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Amplify Your Passion for Case Management Through Public Policy

BY MARY MCLAUGHLIN DAVIS, DNP, MSN, ACNS-BC, NEA-BC, CCM, AND NANCY SKINNER, RN-BC, CCM, ACM-RN, CMCN CMSA and National Black Nurses Association (NBNA) member Stephanie Doibo and colleagues at Cleveland Clinic case manager meeting with Ohio Congressman David Joyce’s legislative aid. The past presidents of the Case Management Society of…

Medical Records
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Why Patients Need Full Access To Their Medical Records

BY MORGAN GLEASON Exciting changes have been proposed by the Office of the National Coordinator of Health IT (ONC) and the Centers for Medicare & Medicaid Services (CMS) that remove “information blocking” and increase patient access to medical information. As a 21-year-old patient, I am often frustrated by the healthcare…