osusana

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1. Are you glad you chose case management?

   osusana replied to susanmary's topic in Case Management

   I developed the CM department over a year ago in a small acute care facility that is always in debt. I didn't even get a Medicare Manual until a few days ago and the download was incomplete. The software is ancient and I have to pull statistics by ha...

2. Does anyone know what insurance companies hire for working at home CM's?

   osusana replied to osusana's topic in Case Management

   Thank you all for the valuable information!!!

3. Does anyone know what insurance companies hire for working at home CM's?

   osusana replied to osusana's topic in Case Management

   I appreciate the reply and information.

4. Does anyone know what insurance companies hire for working at home CM's?

   osusana posted a topic in Case Management

   I would love to work from home. If anyone knows of any insurance companies that hire CM's to do this, I would appreciate the information.

5. Hospital Bill Audit Assistance Needed

   osusana replied to RNCM's topic in Case Management

   Hi, if you are talking about auditing charts for the correct criteria for observation verses admission and to check that they are being billed correctly, you can use the PEEP worksheet and compare what the hospital should have billed (if the correct ...

6. Question for you all from a Nursing Student1

   osusana replied to Miss K's topic in Case Management

   Hi Miss K. I took the Case Management certification course and passed, but I didn't have a clue about most of the material that was covered. I had not worked in CM/UM prior to the course. I would highly recommend that if you are working in an acute c...

7. FOUND 72 HOUR RULE, attachment here if interestsed.

   osusana posted a topic in Case Management

   I found the website for the 72 hour rule, if anyone needs any info on it. www\himinfo_com HCFA's 72-hour rule clarification The good, the bad, and the ugly.htm

8. Starting up new CM/UR department

   osusana posted a topic in Case Management

   I received my CMC over a year ago and worked in ER case management for the past 12 months. It was a new position so I didn't have any prior orientation and had to learn on the job. I have recently taken a position in a small hospital to start the CM ...