by kcastady@parthenonmgmt.com | Jul 24, 2025 | Blog, Case Management
By Angela Mounsey, BSN, RN, CCM, CPHQ One of the most dreaded responsibilities of a case manager is issuing a letter of non-coverage to a patient or their family. It’s the moment when the care team determines that the patient no longer meets medical necessity for...
by kcastady@parthenonmgmt.com | May 5, 2025 | Blog, Spotlight, Standards of Practice
By Tiffany Ferguson, LMSW, CMAC, ACM In a significant policy reversal, the Centers for Medicare & Medicaid Services (CMS) has proposed significant changes that would roll back many of the Social Determinants of Health (SDoH) and equity-related reporting...
by kcastady@parthenonmgmt.com | Jul 29, 2024 | Blog
By Marie Stinebuck, MBA, MSN, RN, ACM Children are losing Medicaid at alarming rates. This update provides key information, advocacy resources, and action steps for hospital case managers. Medicaid Unwinding Update: Strategies for Case Managers This blog is a...
by kcastady@parthenonmgmt.com | Nov 9, 2023 | Blog
By Ronald Hirsch, MD, FACP, CHRI In 2019 the Centers for Medicare & Medicaid Services (CMS) adopted significant changes to the hospital discharge planning conditions of participation. As most know, the conditions of participation are rules by which a medical...
by kcastady@parthenonmgmt.com | Jul 17, 2023 | Blog
By Marie Stinebuck, MBA, MSN, ACM April 1, 2023, may have felt like any other day, but it was not. It began the unwinding and re-enrollment process for Medicaid beneficiaries due to the ending of the COVID-10 Public Health Emergency (PHE). According to the Department...
