BLOG

BY JENNY QUIGLEY-STICKNEY, RN, MSN, MHA, MA, CCM, ACM-RN, CPHM, CMAC CMS 1135 pandemic waivers give healthcare providers throughout the COVID pandemic the ability to relax legal standards for Conditions of Participation and transitions of care. Allowing the healthcare industry flexibility with current CMS Conditions of Participation rules for managing transitions of care has increased […]

 Title protection for professional case managers has been discussed for decades, but little has been done. The term case manager is utilized in many industries and is a fixture in the court system. In that circumstance, the term case manager literally means a person who manages the cases and their flow through a division of

BY GARRY CARNEAL, JD, MA The U.S. medical system is dynamic and always evolving. Understanding the regulatory landscape is essential for case managers to optimize their patient-centered mission. Simply put, a basic knowledge of the laws and regulations applicable to the jurisdiction that case managers work in and the programs they support is important to

BY REBECCA PEREZ, MSN, RN, CCM Everyone aspires to provide quality healthcare. The definition of healthcare quality would seem straightforward; however, establishing metrics is not necessarily so straightforward, a point recognized by Avedis Donabedian, a Lebanese physician and founder of the study of healthcare quality over half a century ago. In 1966, Dr. Donabedian recommended

BY MELANIE A. PRINCE, RN, BSN, MSN, NE-BC, CCM, FCM, FAAN This issue of CMSA Today is a compilation of articles, editorials and resources about legal considerations in healthcare. I recently attended a Health Equity Summit with leaders from a variety of sectors, including law, government, healthcare, academia, public health and community advocacy. These professionals

Registration Now Open for the 2023 CMSA Annual Conference: DISCOVERING SOLUTIONS, DRIVING CHANGE CMSA’s conferences are unparalleled with top-notch education, inspiring content, industry vendors and experts, professional connections and lasting friendships made. The list could go on and on! Register today to join us for the CMSA Annual Conference June 27-30, 2023, at the Mandalay