d'cm

d'cm

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All Content by d'cm

  1. interqual

    Not every patient qualifies, especially this one. This patient is hospice
  2. newbie questions

    Browse thru the previous posts and I think you will find it is a little more complicated than
  3. newbie questions

    I honestly can't think of a specialty background less suited to case mgmt than OR nursing.
  4. Coding would get you in the door for Clinical Documentation Improvement Specialist position which is often withing the CM dept and is not a bad job in
  5. UR FORMAT QUESTION

    I am currently on the receiving end after being hospital based for many years and it seems everybody does it different unless the software formats it. Format per se does not make much difference to...
  6. Wannabecasemanager

    UR is not brain surgery. It is simply identifying the acute signs and symptoms and treatments justifying the necessity of acute care. The only hard part is doing it when there aren't any! Interqual...
  7. A Professor's Grade Deflation Policy

    My professor was exactly like that 15 yrs ago. My theory is that they are trying to teach you that if you think this "caring profession" extends to co-workers and subordinates:
  8. The pay is right. The case load is lighter than norm ( most hospitals put it at 20 ideal but you end up w/ 30 everytime someone has a day off of the census goes up). Your orientation is more than...
  9. Health Care Reform

    Short term (1-4 yrs) it will probably constrict prospects for new nurses, (hospitals loathe uncertainity) but after the laws actually start to take effect there will be a signifcant increase in...
  10. Pa hospital system won't hire smokers

    Good for them. All employers should refuse to hire
  11. Charting Bloopers

    This patient was being admitted for angiodema and admitting notes on the consent " unable to sign tongue
  12. I recently started working in NY and discovered that all patients have a right to appeal their discharges even if they have no insurance or any means of paying. Are there any other states that have...
  13. Patient Right to Appeal Discharge

    It is not clear from your answer: do ALL patients regardless of insurance have a right to appeal
  14. case management help needed

    Have you considered a masters in Case Management? Seton Hall has a good program and it's on line. Also try your local
  15. UR or QI nurses with RAC experience?

    ImAgypsy, I agree with everything you said and would love to do RAC reviews myself. Were you paid per chart / hourly or salary? Did you go onsite / office or work from
  16. Are nurses who smoke more likely to be Republicans or Democrats? If you reply please state if you are a smoker or not and your political orientation Do you find this question at all offensive? Yes, I...
  17. Not too well hence my not being
  18. I worked at Sloan but not as a floor nurse, but can provide you with some insight on what it's like there. First, it is a GREAT place to work, everyone (except the patients) are professional and...
  19. I have found that nursing theory is the same as plumbing theory: S...t runs
  20. I'm probably nuts for asking, but....

    This will really get you going.. Did you know in NY that a patient with no insurance at all and no means of paying can Appeal his discharge to the QIO and therefore delay LEGALLY his d/c by 2
  21. I'm probably nuts for asking, but....

    Among nursing
  22. No nursing jobs in 2012 ???

    You're right, I always forget that!
  23. Patient Right to Appeal Discharge

    I am quite sure all states do not have State regulations granting the right to appeal dc. NJ does not. All Medicare patients do- hence the IM. In NY patients appeal to the IPRO the QIO as...
  24. Medicare to fund Medical Homes

    vicky, i totally agree with what you say about case management but one thing I have never seen is a patient discharged too soon from a hospital here in
  25. Medicare to fund Medical Homes

    The "medical home" is quite a bit more complex than CMS paying MDs more to "coordinate care" as the WSJ describes in this brief article. The true medical home is about having comprehensive...