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<p>The move by CMS to change the payment methodology for patients receiving observation services means it’s more important than ever for case managers to ensure that patients receive the services they need in a timely manner and that they receive only the care they need while they are in an acute care setting, says <strong>Amy M. Smith</strong>, RN, MSN, CCM, director of case management at Dartmouth-Hitchcock Medical Center, a 421-bed academic medical center in Lebanon, NH.</p>

Ensure that services observation patients receive are necessary and timely

CMS shifts to paying a flat fee for entire observation stay