Adding humor to the clinical revenue cycle
I’d like to add a little humor to the reality of what really happens with physicians in dealing with the different components of clinical revenue cycle – specifically, utilization review (UR) specialists, case managers, clinical documentation specialists, and coders. I’m sure that you might identify with some of these following descriptions of scenarios and individuals involved in attempted physician communication, for answers to queries specific to the department (and I will use the term “case manager” as a generic):
In today’s world, with there being more physician advisors (PAs) around, they may run into similar situations, but not as many. Physicians can’t play as many tricks when it is a peer with whom they are talking. Doctors behave better then, but not always.
For years, the triad model, comprised of nurse case managers, social workers, and utilization review nurses, served as the three-legged stool supporting the model for
In a follow-up to last week’s article about when discharge lounges do not work, I thought I would elaborate today on when the concept can
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