title: CM process redesign focused on level of care.
abstract: Cheyenne (WY) Regional Medical Center is redesigning its case management program to address level-of-care issues after the recovery audit contractor's determination that a number of inpatient stays should have been billed as observation. The hospital determined a lot of variation in level-of-care orders from attending physicians. A multidisciplinary team created a guide for physicians to use in determining level of care. Physicians are required to use a level of care form in order to admit a patient.
mesh_terms: D019090:Case Management; D014487:Centers for Medicare and Medicaid Services, U.S.; D004469:Economics, Hospital; D007345:Insurance Claim Review; D019982:Organizational Case Studies; D014481:United States; D014959:Wyoming