A case management protocol: reducing unnecessary Medicare admissions in Florida.

Abstract

The Florida Medicare quality improvement organization implemented a case management project with 20 acute care hospitals to reduce unnecessary Medicare admissions. The project called for hospitals to implement a protocol to assign patients to observation or inpatient admission status. Results of the project showed a 67% reduction in the denial rate for the participating facilities. This relative reduction in denial rates was nearly 3 times greater for the participating facilities as compared to the control facilities. The protocol can easily be adopted by hospitals.

Cite this paper

@article{Michelman2005ACM, title={A case management protocol: reducing unnecessary Medicare admissions in Florida.}, author={Mark Michelman and Patricia Collier and Charles Dion and Ferdinand Richards and Henry Ohleyer and Paulette Vasey and Zachary Henshaw and Karen Davison}, journal={Lippincott's case management : managing the process of patient care}, year={2005}, volume={10 2}, pages={72-80; quiz 81} }