Latest papers

The relentless pursuit of perfection in a machine bureaucracy: its impact on the practice of oral and maxillofacial surgery.

A proactive (and financially beneficial!) approach to utilization management.

Spironolactone use in patients with heart failure.

Will Medicare pay for concurrent hospital-owned outpatient wound department visits and procedures?

SSM slashes LOS almost two days in just two weeks.

The Mentor Model: care management in the 21st Century.

Data help case management demonstrate its contributions.

Inpatient case managers handle discharges, review.

Clinical and fiscal outcomes of utilization review.

Clinical Risk Groups (CRGs): a classification system for risk-adjusted capitation-based payment and health care management.

Documentation initiative pays off for hospitals.

How to minimize inappropriate utilization of Accident and Emergency Departments: improve the validity of classifying the general practice cases amongst the AE attendees.

Detection of postoperative surgical-site infections: comparison of health plan-based surveillance with hospital-based programs.

Concurrent review initiative helps NC hospital cut avoidable days.

An exploratory cost analysis of performing hospital-based concurrent utilization review.

Denials of reimbursement for hospital care.

Validation of the Hendrich II Fall Risk Model: a large concurrent case/control study of hospitalized patients.

Professional practice solutions...record completion policies.

Improving physician documentation through a clinical documentation management program.

The impact of verbal communication on physician prescribing patterns in hospitalized patients with diabetes.