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case management

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Case Manager Solution to Claim Denials.

Case Manager Solution to Claim Denials.

  Denied claims are one of the largest areas of lost revenue for health care organizations. They are also one of the simplest things to quantify, address and correct. American Institute Health Care Professionals‘s insight: A good article for case managers on reducing claim denials.  A case manager can work for the patient in this cases.   See on www.bhmpc.com

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Becoming a Case Manager to Improve Medication Adherence

Becoming a Case Manager to Improve Medication Adherence

Two out of three Americans do not take medications as prescribed. Poor adherence to prescribed medication leads to higher healthcare costs, unnecessary utilization American Institute Health Care Professionals‘s insight: Case Management strategies can maybe help monitor this issue.  If you are interested in becoming a case manager, then please review the site #caremanagementonlineeducation See on payerfusion.com

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Revealing the Best-Kept ‘Secret’ of Case Management

Revealing the Best-Kept ‘Secret’ of Case Management

Amidst all the talk about how to improve quality, efficiency and efficacy in health care these days, case management sometimes feels like the best kept secret. American Institute Health Care Professionals‘s insight: With new ideals in health care management emerging, sometimes we forget the best part which is the human element.  Many nurses are case managers and give a high quality level of professionalism and care.   Case management is a growing field.   Many hospitals are looking for quality trained case managers to help them.   See on nursetogether.com

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The New ‘Just-in-Time’ Consultants: Medical-Home Case Managers

The New ‘Just-in-Time’ Consultants: Medical-Home Case Managers

The medical home is pushing case managers’ networking and versatility skills as they navigate between levels of care. American Institute Health Care Professionals‘s insight: Case Managers are being tested more and more in their diversity as they also serve patients from acute care to home care. This challenge will be met with newly trained case managers who are educated with up to date certifications.   If you need to re-certify then you should visit AIHCP.   They have online programs that can help you get your certification in case management.   They can also help you receive continuing education credits.     So if you

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Basic Concepts of Health Insurance

Case Management: Insurance Basics In many cases, Case Managers have to deal with health insurance companies on an everyday basis in regards to their patients care and coverage. Below is is health insurance 101 for individuals who need to grasp a better understanding of what health insurance is from the patient end. Living without health insurance can be risky if you develop a serious illness or undergo trauma, especially if you get an injury or if you get very sick. Having a proper health insurance policy is key to keeping yourself healthy, and these tips can help you get the most coverage

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Case Management Certification Review of AIHCP

Case Management at AIHCP? The case management certification at AIHCP is an excellent way for nurses or others in the health field to earn a certification which can enhance their professional position.  Below is a video that describes the program at AIHCP If you are interested in learning more about case management certifications, then please click here   AIHCP

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How a Nursing Case Management Education Helps Patients.

How a Nursing Case Management Education Helps Patients.

Anxiety service mapping charts patient anxiety levels by identifying each American Institute Health Care Professionals‘s insight: Very Interesting article with deep insights into the patient experience in health care. We often forget about our patient’s levels of anxiety when they enter the health care system.  It is interesting how furthering your nursing case management education can help you with your patients’ experiences.   This article provides keen insights and should be read by all health care professionals. www.aihcp.org  Not a case manager?   Then perhaps you should look into receiving your certification in case management.   There are plenty of online programs to

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Learning more about Case Management with Obamacare!

Case Managers and Understanding Obamacare Case Managers need to understand future implications of Obamacare on alternative medications. WMBFnews, a NBC affiliate writes that other forms of medicine once considered alternative could be covered under Obamacare.  This topic is covered in the article, “Obamacare to Cover Acupuncture, Alternative Medicine” Under the Patient Protection and Affordable Care Act (ACA), otherwise known as “Obamacare,” what is now called alternative medicine may become as accessible and as widely accepted as conventional medicine. To read the entire article, please click here If you are interested in learning more about case management, then please click here

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Case Management Skills Are Needed for Malpractice.

Case Management Skills Are Needed for Malpractice.

Case Management and Malpractice Good Case Management skills can prove to be good records for truth in malpractive whether the patient or the doctor is in the wrong.  The article below talks about the rise of malpractice in the United States. George Perry writes in “Medical Malpractice Caps By State (Infographic)” about the state by state rise in malpractice and its impact on society. Medical malpractice is a serious issue, not just because of the impact it has on  the victims, but also because of the financial burden it can place on the family  members that have to care for

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Nursing Case Management: A Focus on Advocacy

Nursing Case Management: A Focus on Advocacy

Nursing Case Management Nursing case management is becoming more important in overall health care delivery. A nurse case manager must wear many hats and juggle many tasks at once in order to be successful at his or her job. Perhaps one of the most important aspects of being a case manager, however, is acting as a patient advocate. This is such an ingrained part of being a case manager that many nurses act as an advocate without even realizing it by doing things like noticing a prescription medication error. There are many other aspects to the role of the nurse