title: MAC mobile reviews an eye-opening experience.
abstract: After being singled out for the first mobile review by New York State's Medicare Administrative Contractor, Winthrop University Hospital in Mineola, NY, launched a series of initiatives to avoid Medicare denials. Case managers were assigned to every entry point to screen patients for medical necessity and cover the emergency department 16 hours a day. The case management team, physicians, and clinical documentation team received extensive education on documentation requirements. The physician advisor reviews all Medicare fee-for-service short-stay patients to identify opportunities for improvement in documentation.
mesh_terms: D019090:Case Management / Q000592:standards; D006784:Hospitals, Teaching; D007345:Insurance Claim Review / Q000458:organization & administration*; D008485:Medical Audit / Q000458:organization & administration / Q000592:standards; D009518:New York; D024802:Nurse's Role; D019982:Organizational Case Studies