ED CMs improve throughput, reduce denials

If your hospital doesn't have case managers in the emergency department during peak hours, you're missing an opportunity to ensure that your admissions are appropriate and reduce the risk of reimbursement being recouped by auditors from the Centers for Medicare and Medicaid Services (CMS) and commercial payers. In this issue, we examine the benefits of an emergency department case management program and give you ideas on how it should be structured. You'll read how one hospital system's ED case managers save $4.5 million a year and learn how to provide the value of an emergency department program to your administration. It's all in this issue of Hospital Case Management.