Hospital Case Management (Vol. 25, No. 5) - May 1, 2017

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Release date: May 2017

Valid through: May 2019

Target Audience

This activity is intended for hospital-based nurse case managers, case management directors, social workers and utilization review nurses.


  • Hospitals are still confused about inpatient vs. observation
  • Conduct self-audits to avoid denials, identify mistakes
  • OIG finds hospitals still get short stay status wrong
  • How patient status rules are ‘clear as mud’
  • Observation unit helps with the bottom line
  • CMS delays new bundled payments
  • Behavioral health in ED improved with telepsychiatry


  • Identify particular clinical, administrative, or regulatory issues related to the profession of case management
  • Describe how clinical, administrative, or regulatory issues particular to the profession of case management affect patients, case managers, hospitals, or the healthcare industry at large
  • Discuss solutions to the problems facing case managers based on independent recommendations from clinicians at individual institutions or other authorities

Credit Available


  • 1.25 ANCC Contact Hours
  • 1.5 CCMC Contact Hours


This activity is sponsored by AHC Media.

Accreditation Statement

Relias Learning, LLC is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Credit Designation


This activity has been approved for 1.25 nursing contact hours using a 60-minute contact hour.

Provider approved by the California Board of Registered Nursing, Provider #CEP13791, for 1.25 Contact Hours.

This activity has been approved by the Commission for Case Manager Certification for 1.5 clock hours.

Nurses licensed in California should retain this credit letter for four years.

Faculty Listing


Mary Booth Thomas


Editor: Jill Drachenberg

Editor: Dana Spector

Financial Disclosure

Author Mary Booth Thomas, Editor Jill Drachenberg, and Editor Dana Spector report no consultant, stockholder, speaker’s bureau, or other financial relationships with companies having ties to this field of study. Nurse Planner Toni Cesta, PhD, RN, FAAN, Consulting Editor of Hospital Case Management, is a consultant with Case Management Concepts LLC.

Copyright 2017, AHC Media. All rights reserved.