The Center for Case Management

07/16/2025

🏥 New Medicare Appeal Rights: What CMOs and Case Management Leaders Need to Know

A recent court ruling has major implications for hospitals: Medicare patients can now appeal retroactively when their status is changed from inpatient to outpatient observation — potentially going back as far as 2009.

This update underscores:

✅ The financial impact of status changes on hospitals and patients

✅ Gaps in appeal readiness across case management departments

✅ The need for clinical and operational alignment on admission status decisions.

If your organization is seeing denials, disjointed workflows, or appeal risks tied to status changes, it may be time for a deeper operational review.

📖 Read the article here: https://tinyurl.com/yny94uud

07/14/2025

🚨 EDs across the country are under pressure.
Patients waiting. Staff burning out. Everyone doing their best to keep up—but it’s taking a toll.

It doesn’t have to be this way.

Imagine an Emergency Department where:
✅ Patients move smoothly through the system
✅ Staff feel supported, energized, and united
✅ Your team leads a culture of efficiency and trust

That’s what our 2-DAY ED FLOW course delivers.
Practical. Transformative. Designed for real-world impact.

👉 Ready to change the game in your ED?
Let’s do this—together. https://lnkd.in/gUeshZ2x

07/04/2025

Wishing you a happy and safe 4th of July! 🇺🇸

06/19/2025

Our office is closed today in observance of Juneteenth. ❤️

06/16/2025

Is your hospital or health system facing leadership challenges in case management? We get it — turnover, staffing shortages, and transitions can stretch even the best teams thin.

That’s where we come in.
At CFCM, our Interim Leadership Services provide expert leaders who bring structure, strategy, and support.

From stabilizing departments to improving performance, our interim leaders are ready to step in when and where you need them most.

💼 Real experience
⚖️ Proven outcomes
🧭 Strategic direction

If your case management team needs support, let’s talk. We’re ready when you are. https://tinyurl.com/m3465m3x

06/02/2025

“The patient experience begins and ends with compassion.” – Jean Watson

https://www.cfcm.com/

05/30/2025

Wishing a very special birthday to our phenomenal Executive Director of Operations (who keeps our CFCM ship sailing!), Sue Wilson! 🥳🎉🎉🎉 Help us celebrate her today! 🎈

05/27/2025

🚨 Ready to transform your Emergency Department? 🚨

Our new 2-Day ED Flow Course — a rapid-cycle, high-impact event— is designed to reset how your team thinks about patient flow.

🤝 Unite staff.

🚑 Improve efficiency.

👥 Build a new culture of collaboration.

It’s time for a fresh start in emergency care. Let’s lead the change — together.

💡 Learn more: https://tinyurl.com/msrwy5hw

05/26/2025

Today we remember and honor the brave individuals who gave their lives in service to our country. Wishing you a reflective and peaceful Memorial Day. 🇺🇸❤️

05/23/2025

Our office is closed Monday, May 26th in observance of Memorial Day. We will reopen the following day. 🇺🇸

05/19/2025

“The secret of the care of the patient is in caring for the patient.” — Francis Peabody

https://www.cfcm.com

05/12/2025

Honoring the dedication and resilience of nurses—past and present. This Nurses Month, we’re inspired by those who paved the way. 🤗

The nation was at a low ebb as the 1940s began. German bombing had devastated towns and cities acros...