Transitions in Care – A Key Role for RN Case Managers and Social Workers

Transitional planning has become more than just the movement of the patient out of the hospital.  It is a “process” that starts at the point of admission and follows through to the community and the post-acute care prov...

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Are You Applying Modifiers Correctly?

There are modifiers available to use in the CPT® and the HCPCS manual.  There are modifiers that can only be used with visits, and other modifiers that are relative to surgical procedures, and others that involve DME and diagno...

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Best Practices in Optimizing the Skill Sets of RN and Social Work Case Managers

Topic Background: The role of the case manager and social worker is dynamic and constantly changing in response to the changes in health care delivery and reimbursement at the federal, state and local levels.  While change remains a...

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Creating Orthopedic Appeals

Session Highlights: This session will bring you up to speed with: The contents of an effective appeal References to powerfully support your appeal Best steps for changing pre-authorization after surgery What to do when your i...

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Infusions for Therapeutic and Chemotherapy

The CPT® and HCPCS manuals are involved in reporting all services for infusions.  The documentation must include start and stop times for each drug given, as well as the method of administration. There are initial codes as well...

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