Case Management

Certificaton In Case Management and Nursing Leadership

Posted on by Dominick Flarey

Career Nurses: How to Become a Successful Leader in Your Hospital or Clinic

A leader can be defined in countless ways, but every definition includes the ability to motivate and educate others to improve themselves and their performance. In a hospital or health clinic, leaders ensure patients are properly cared for and employees are happy and qualified. Here are some tips to help career nurses become leaders.

Interact with Your Coworkers

Nurses serve their patients diligently. While this is certainly a chief job component, becoming a leader also requires getting to know your coworkers. The better you know the people you want to lead, the greater understanding you will have of their areas for improvement. Make sure to befriend your coworkers and learn what motivates them.

Get a Master’s Degree in Nursing Online

The more education you get the more knowledge you have. This will make you better equipped to lead others and increase your nursing acumen. Obtaining a master’s of nursing online will also expose you to facets of nursing you may be less experienced in. Such experience allows you to better relate to nurses and doctors in your hospital or clinic. Now, top universities offer master’s degrees in nursing online, meaning there has never been a more flexible or convenient time to get your master’s degree.

Seek Out Committee Positions

Most hospitals and clinics have some sort of panel, committee, or advisory board. Volunteer for a position on one of them. You will obtain valuable decision making experience and get to hear from your coworkers. You will learn what they are passionate about and what bothers them at the workplace. Once you know the concerns employees have, you can help them turn concerns into improvements. The face time you will get with others is also key to developing trust and communication.

Lead by Example

Leaders must back up their words with actions. When you communicate a message, make sure it comes to fruition. Doing small things to make the workplace better—whether it be cleaning up the breakroom, greeting people in the morning, or any other small gestures of service—show people that you lead by example.

Thank People

Positive affirmation goes a long way. It makes coworkers feel appreciated. It also makes you likeable. Compliment the people in your hospital or clinic when they do a good job. Let them know that you value them and the talents they bring to the workplace.

In Conclusion

Career nurses can be influential leaders. In fact to be truly successful in any hospital or clinic, a nurse must be a leader in some fashion. Nursing is a career where one must take the initiative as someone’s life may depend on it. It is not just about making the workplace a better or happier place for your co-workers, but it could mean life or death for certain patients. If you are thinking of getting into a nursing career, keep the tips above in mind and keep doing your homework to make sure that this is a career that is right for you. In the end, you will need to become a leader and if you are successful, then you will have a truly fulfilling and memorable career.

 

About the Author:

About the Author: Lizzie Weakley is a freelance writer from Columbus, Ohio. She went to college at The Ohio State University where she studied communications. In her free time, she enjoys the outdoors and long walks in the park with her 3-year-old husky Snowball.

 

 

Another excellent way to enhance your nursing career and become a leader is via a certification in Case Management.  Nurses with good organizational skills and leadership qualities should consider becoming certified in Case Management with AIHCP.  A certification in Case Management is an excellent choice for you!

AIHCP

Healthcare Providers Across the U.S. Select Allscripts to Establish Chronic Care Management Programs and Accountable Care Organizations

Posted on by Dominick Flarey

CHICAGO, Oct. 13, 2015 (GLOBE NEWSWIRE) — Several physicians practices and organizations recently selected Allscripts (Nasdaq:MDRX) to create or bolster their population health strategies. These providers want to provide better ongoing management of patients with chronic diseases and form accountable care organizations (ACOs) to facilitate value-based care and reimbursement models.

Sourced through Scoop.it from: globenewswire.com

Good outcomes for chronic care is correlated with good healthcare management of the patient and his or her needs.

This article looks at how healthcare providers can supply better care for better long term results.

If you would like to become a certified healthcare case manager, then please review the program and see if your qualified.

#certifiedhealthcarecasemanager

Case Management Training and Medical Coding

Posted on by Dominick Flarey

Staying Mistake Free: 5 Keys to Halting Medical Code Errors

Medical coders assist physicians in submitting the proper codes and documentations to patients and other payers. The following are five common medical coding errors and suggestions on how to avoid them.

Wrong Interpretation of Operative Reports

Coders are only going to bill for procedures that they see documented by a physician. Even if in the report a doctor gives a description of the procedure, and even if the procedure is listed as being performed, most coders are not going to code it if there is not an operative description present. This problem can be solved by making sure that the provider writes down the operative description for every procedure performed, and the coder should be trained to be able to interpret an operative report and code it appropriately.

The Coder Does Not Know about the Bilateral Procedures/Services

In many cases, a medical coder is going to work in a different location than the physician and their patients. It’s easy for a doctor to forget to write down a bilateral procedure, like an injection, x-ray, or medications. If this happens, there is no way that a coder can bill for them. A physician must take responsibility for their part in the coding process. Bilaterals should be highlighted or circled to guarantee they are properly billed.

Unbundling

This is when an entire procedure is broken down into little parts and charged separately. If there is already a comprehensive code for the entire procedure, unbundling is unethical, illegal, and could lead to an audit. Coders must know comprehensive codes like the back of their hand.

Code Not to its Highest Specificity

Certain codes need four or five digits in order to reach their highest specificity. If the codes are not properly written, the claim may be rejected. This can be fixed by a coder guaranteeing that a diagnosis has been coded to the highest level of specificity. If they are not sure, they can use a code book or look it up on the Internet.

Using Outdated Material and Getting Wrong Codes

Medical billing codes change. For this reason, universities that provide an on campus or online health information degree teach their students the importance of staying up-to-date with the latest codes and the latest coding technology. Additionally, coders should go to seminars or attend web seminars to make sure they are up-to-date on codes.

Medical coding is an important part of the healthcare profession. When done properly, it guarantees that physicians are paid for the services they provide while at the same time guaranteeing that patients are only billed for the services they receive.

 

Case Management Training is key to understanding medical coding as well.  Please review our Case Management Training program and let us know if you have any questions

AIHCP

Population Health Management Starts with Flagging High Costs

Posted on by Dominick Flarey

Population health management programs must start by identifying patients in the top tiers of spending, says the Health Care Transformation Task Force.

Sourced through Scoop.it from: healthitanalytics.com

Population health management deals with unequal distribution of healthcare costs within certain groups.  For instance the top five percent of patients deal with half the total annual expenses.  This makes sense since those dying or elderly or terminally ill require more expensive care while most the healthy population requires less expensive techniques

If you are interested in case management training, then please review.  Also please review our program and see if it matches your academic and professional needs as a healthcare professional

#casemanagementtraining

reducing lost revenue from inpatient medical-necessity denials

Posted on by Dominick Flarey
If you would like to become a certified case manager then please review the program and see how it matches your career needs
Please also review AIHCP’s Case Management Certification

A data-driven approach can help hospitals limit payment denials that are based on questions of whether an admission was medically necessary. The vast majority of hospitals in the United States are all too familiar with denials of payment.

Source: insurancenewsnet.com

A big role of the certified case manager is to reduce loss revenue from insurance denials.  Proper procedure from the start of the patient’s visit can help ensure less denials.

If you are interested in becoming a certified case manager, then please review the program and see if it matches your academic and professional needs.

#certifiedcasemanager

Healthcare Needs a True Care Management System

Posted on by Dominick Flarey

A Care Management System is a solution that would fundamentally change how providers communicate and coordinate the care of patients.

Source: medcitynews.com

Short article on the need of a good and true health care management system for healthcare.

Healthcare management is an important key and a fluid and smooth movement of its implementation is key

If you would like to learn more about Case Management Training, then please review the program

#casemanagementtraining

Become a Certified Case Manager and Help Hospitals.

Posted on by Dominick Flarey

The article, “6 ways hospitals can reduce length of stays”, by Katie Sullivan states

“As hospitals and healthcare systems pinch pennies and look for ways to operate more efficiently,  a new CentralLogic report reveals six simple steps they can take to reduce length of stay and increase on-time discharge.”

American Institute Health Care Professionals’ insight:

Case Management is about quality for the patient but also reduction of price for both the institution as well as the patient.

This article looks over some simple steps to help hospitals run more financially smooth. This is very important because good case management can help hospitals and patients save funds and also improve quality assurance.

If you are someone looking to become a certified case manager, then please review our program.  If our program matches your professional and academic needs, you could become a certified case manager.

#howtobecomeacasemanager

See on www.fiercehealthcare.com

Going under the knife: Who will manage your diabetes? | MSU Extension

Posted on by Dominick Flarey
program in case management
Looking for a program in case management?

The article, “Going under the knife: Who will manage your diabetes?”, by Pam Daniels states

“Stay in control of your diabetes.”

American Institute Health Care Professionals’ insight:

This is a good article for Diabetics who are facing surgery and the worries of not only recovering but treatment of the diabetes.  As we all know diabetes is a serious illness and without proper treatment, especially during surgery, it can become a serious situation. This is where good preparation comes into hand and also good case management. 

Your medical team and certified case manager should be able to help you in this area of concern as they overlook your overall recovery.  This is critical they have a case history of your diabetes and are all on the same page.  A certified case manager can be the leader in this case and help coordinate all the medical professionals in your recovery with special emphasis on your diabetes and its particular treatment.

If you are interested in learning how to become a certified case manager, then please review the program in Case Management.

Our program in Case Management consists of five core courses.  After completion of those courses, qualified professionals can become eligible to become certified in case management.

If one wishes to recertify in our program in Case Management after three years, they have to accumulate over five hundred hours of case management relevant service and sixty hours of case management continuing education.

In the meantime, please review our program in Case Management and the various articles.  If you have any questions please let us know and we will be more than glad to help you.

#becomingacasemanager

 

See on msue.anr.msu.edu

Health Care Case Managers: Using Case Management to Help a Child With Autism

Posted on by Dominick Flarey

The article, “Using Case Management to Help a Child With Autism”, by Gregory Ruel states

“Portland, Maine — Parents of children with autism are rightfully worried about the best path for their child.”

American Institute Health Care Professionals’ insight:

Health Care Case Management is important in health care.  It is important in dealing with everything from a medical perspective.  On many occasions, a case manager can be the difference in a family finding treatment or being billed correctly.

Health Care Case Managers can also help children with autism.  Health Care Case managers can help families find cost friendly services to assist families.  Many families are not aware of many of the state aids that are available that good health care case managers can find for them.

Please review the article and in the meantime, if you have any interest in case management, or wish to become certified in case management, then please review the program.  To become certified as a health care case managers, qualified professionals need to take the five core courses in Case management.  After completion of the courses, the professional is eligible for certification.  Certification in case management lasts four years and can be renewed.

In the meantime, health care case managers should enjoy the blog and read the articles.  If you are not a case manager, then still stay and catch up on some important issues in health care, or feel free to browse our site or other blogs that we have.

#casemanagementprogram

 

See on www.webwire.com

Learning More About Case Management: Tips on Getting Life Insurance following Heart Surgery

Posted on by Dominick Flarey

Tips on Getting Life Insurance following Heart Surgery

Are you interested in obtaining life insurance after having had heart surgery? It may be difficult but not impossible, and the tips listed below should help.  Many Case Managers would suggest these things

1. Wait a year

Your best bet in getting life insurance after you have had heart surgery is to wait at least one year before trying to obtain a policy. This type of policy will be simplified issue and will be available in almost all states. If you acquire guaranteed issued insurance, you will not need to wait a year. The policy will be issued immediately but will take up to two full years at a minimum before it will pay out 100%.

2. Medically underwritten policies

• If you are interested in obtaining a policy that is medically underwritten, you will need to meet certain criteria. It will be necessary for your heart surgery to be a one-time incident. It will also be necessary that you did not have a heart attack or suffered only a mild one. You will need to follow a lifestyle that is healthy for your heart, and you will also be required to have gone through enough time without incident that you are able to go off of any blood thinners. Even if all of these criteria have not been met, you may still be able to acquire a medically underwritten policy that contains what is known as a “flat extra,” which is an additional charge applied to the policy for a specified period of time.

• You will also be required to produce medical proof to your prospective insurer that you are in good health at the present time. This may include an EKG printout, stress test results, or a chest x-ray.

3. Check out a number of companies

You will want to acquire a number of quotes from a variety of life insurance companies to ascertain which agency can give you the best policy at the best price. You can do this on your own or you can go through the services of a reputable agent who will have firsthand knowledge regarding the best life insurance companies for individuals in your particular situation.

4. Lose weight, if necessary

If you tend to have problems with being overweight, it will help your health and your efforts to get a life insurance policy when you shed unnecessary pounds. Insurers consider your current lifestyle when you apply for a policy, and they will not want to see that you are carrying extra weight that could place an unnecessary burden on your heart.

5. Do not smoke

If you are presently smoking, quit the habit and stay away from all tobacco products. There is not an insurer alive who will want to provide a life insurance policy to an applicant who still smokes despite the fact that he or she has had heart surgery.

By following the tips that are listed above, you can greatly increase your chances of obtaining a good life insurance policy even after you have had heart surgery.

Author Bio: Claire Atkinson writes for  Kanetix.ca, a comparison website that has more information on obtaining life insurance

If you would like to learn more about insurance or if you are a qualified nurse or health care professional interested in learning more about case management, then please review the program at AIHCP