CM Express: Accelerating Performance in New CMs. Module B. Impro
Case managers, with our role as liaison among patients, payers, and the healthcare team, are in a unique position to improve claims and reimbursement, support the revenue cycle, and bridge the gap between the finance and clinical departments. This module explores how CMs engage with the organization’s operating revenue system and various claim issues–such as with Medicare and the Recovery Audit Contractor Program—as well as commercial claims. Then, the module looks at how CMs will likely encounter—and how they can maximize the care for—the uninsured and medically indigent population.