The Hospital Case Management Orientation Manual

This book s focus is utilization management, discharge planning, and relevant CMS regulations. It can help new case managers learn how to perform their jobs effectively on their own time. It can also serve as a wide-ranging resource for more experienced case managers, particularly those whose training was less than adequate.

Table of Contents

Chapter 1: Case Management Basics
Chapter 2: Factors Influencing Case Management and Its Processes
Chapter 3: Healthcare Funding
Chapter 4: Utilization Review and Utilization Management
Chapter 5: Letters, Denials, and Appeals
Chapter 6: Care Coordination
Chapter 7: Transfers, Levels of Care, and Transition Planning
Chapter 8: Home Health, Hospice, and Other Home Care Services

Who should read this book?

- Case manager
- Director of case management
- Clinical documentation specialist
- Director of clinical documentation improvement
- Chief financial officer