The Business Of Case Management: Maximizing Reimbursement For Clinical RNs

Webto effectively maximize reimbursements in the healthcare revenue cycle, providers must employ a combination of strategies that span the entire process:

The aim is to incentivize healthcare providers to focus on patient outcomes and cost efficiency, rather than on maximizing the number of procedures or services rendered.

Webthe philosophy of case management is that all individuals are eligible for case management services regardless of age, culture, or ability to pay for service.

Webhaving the case management department aligned with and collaborating with the revenue cycle team to manage reimbursement issues is integral to the financial health of hospitals, says teresa mcnulty, rn, ba, acm, iqci, director at huron consulting.