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 | Mar 10, 2025 | Blog, Case Management
By Divya Jose, MSN , CCRN, CCM , ACM-RN Case Managers are not just coordinating care; they are often the lifeline that helps patients navigate a complex and frequently confusing healthcare system. We are the ones providing resources to patients when they face a new...
by kcastady@parthenonmgmt.com | Jan 6, 2025 | Blog, Case Management
By Ronald Hirsch, MD, FACP, ACPA-C, CHRI, CHCQM The new rule, CMS-4204-F, will affect two distinct categories of fee-for-service Medicare patients and specifically excludes Medicare Advantage patients. The first, the retrospective group, are those who during a past...
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...
