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- Title
Improving Care for Patients Transitioning from Hospital Acute Care to Home.
- Authors
Hamilton, Rosha L.; Walloch, Judith A.; Lauer, Karen; Zoch, Thomas W.
- Abstract
Care management services historically have been non-billable services and often absent from the care model. Underutilizing transitional care management (TCM) reimbursement billing codes can leave financial resources on the table. Implementing standard work protocols for identifying TCM discharged patients, performing medication reconciliations, implementing patient outreach phone calls, and scheduling follow-up appointments can reduce readmission rates, improve patient outcomes, and utilize TCM billing.
- Subjects
PILOT projects; PATIENT aftercare; HOME care services; TELEPHONES; SOCIAL services case management; MEDICAL care; PATIENT readmissions; HUMAN services programs; HEALTH insurance reimbursement; MEDICAL care use; TREATMENT effectiveness; QUALITY assurance; CRITICAL care medicine; DESCRIPTIVE statistics; ELECTRONIC health records; MEDICATION reconciliation; MEDICAL appointments; DISCHARGE planning; HEALTH self-care
- Publication
Nursing Economic$, 2021, Vol 39, Issue 2, p59
- ISSN
0746-1739
- Publication type
Article