Care Transitions Today Co-presented by ACMA and APLCM

This episode is co-presented by the Association of Physician Leadership in Care Management and the American Case Management Association. In this episode, we are joined by three physicians, Dr. Rebecca Severe, a Hospital Medicine-certified physician serving as Medical Director of Care Management for Advocate Aurora Health, Dr. Sweta Singh, Medical Director of Care Management at the University of Michigan Medical School, and Dr. Teresa Jacobs, Clinical Professor of Neurology at the University of Michigan Medical School.



In this conversation, two medical cases are covered, each with complex patient care and payer denials. The first case is a 57-year-old male with a severe rash and lower extremity edema, while the second case involves a 64-year-old male with Huntington's disease presenting with acute confusion and elevated blood sugars. Both cases required careful consideration of medical necessity and utilization of resources to justify inpatient stays.



The Association of Physician Leadership in Care Management, or APLCM, was created to provide support and education for physicians in this field. APLCM is unique because of its connection to the American Case Management Association, focusing on the partnership and collaborative model of nurse case managers, social workers, and physicians in care management. ACMA has a rich, 25-year history of supporting the case management field.



APLCM is inclusive of all practice settings. Membership in APLCM also gives you access to all ACMA resources and benefits. Whether you're new to case management or have years of experience, APLCM membership is valuable. Gain access to professional networking opportunities and resources. Visit www.aplcm.org to learn more.



Please visit www.acmaweb.org/podcast for more information about the podcast, or contact us directly at podcast@acmaweb.org with questions, topic requests, or other feedback.

This episode is co-presented by the Association of Physician Leadership in Care Management and the American Case Management Association. In this episode, we are joined by three physicians, Dr. Rebecca Severe, a Hospital Medicine-certified physician serving as Medical Director of Care Management for Advocate Aurora Health, Dr. Sweta Singh, Medical Director of Care Management at the University of Michigan Medical School, and Dr. Teresa Jacobs, Clinical Professor of Neurology at the University of Michigan Medical School



In this conversation, the physicians focus on two patient cases. The first case covers a 42-year-old female who had a total knee replacement and developed a wound dehiscence and infection. The question arises whether the patient should be admitted as an inpatient or placed under observation. The second case is a riveting dialogue regarding a 75-year-old female with relapsed IgG lambda multiple myeloma who requires 48 hours of monitoring after each dose of a new immunotherapy medication. The dilemma is whether this patient should be admitted as an inpatient or placed under observation.



The Association of Physician Leadership in Care Management, or APLCM, was created to provide support and education for physicians in this field. APLCM is unique because of its connection to the American Case Management Association, focusing on the partnership and collaborative model of nurse case managers, social workers, and physicians in care management. ACMA has a rich, 25-year history of supporting the case management field.



APLCM is inclusive of all practice settings. Membership in APLCM also gives you access to all ACMA resources and benefits. Whether you're new to case management or have years of experience, APLCM membership is valuable. Gain access to professional networking opportunities and resources. Visit www.aplcm.org to learn more.



Please visit www.acmaweb.org/podcast for more information about the podcast, or contact us directly at podcast@acmaweb.org with questions, topic requests, or other feedback.

This episode is co-presented by the Association of Physician Leadership in Care Management and the American Case Management Association. In this episode, we are joined by three physicians, Dr. Rebecca Severe, a Hospital Medicine-certified physician serving as Medical Director of Care Management for Advocate Aurora Health, Dr. Sweta Singh, Medical Director of Care Management at the University of Michigan Medical School, and Dr. Teresa Jacobs, Clinical Professor of Neurology at the University of Michigan Medical School



In this conversation, the physicians focus on two patient cases. The first case is of a 66-year-old female with a history of COPD and ovarian cancer who presented with increased shortness of breath. The physician advisor had to argue for the medical necessity of the hospital stay, focusing on the treatment of pneumonia. The second case discusses a 74-year-old female with hyponatremia and dizziness. The physician advisor had to argue for the inpatient level of care based on the severity of illness, utilization of resources, and medical necessity.



The Association of Physician Leadership in Care Management, or APLCM, was created to provide support and education for physicians in this field. APLCM is unique because of its connection to the American Case Management Association, focusing on the partnership and collaborative model of nurse case managers, social workers, and physicians in care management. ACMA has a rich, 25-year history of supporting the case management field.



APLCM is inclusive of all practice settings. Membership in APLCM also gives you access to all ACMA resources and benefits. Whether you're new to case management or have years of experience, APLCM membership is valuable. Gain access to professional networking opportunities and resources. Visit www.aplcm.org to learn more.



Please visit www.acmaweb.org/podcast for more information about the podcast, or contact us directly at podcast@acmaweb.org with questions, topic requests, or other feedback.

This episode is co-presented by the Association of Physician Leadership in Care Management and the American Case Management Association. In this episode, we are joined by two physicians, Dr. Rebecca Severe, a Hospital Medicine-certified physician serving as Medical Director of Care Management for Advocate Aurora Health and Dr. Sweta Singh, Medical Director of Care Management at the University of Michigan Medical School.

In this conversation, Rebecca and Sweta discuss two patient cases and the determination of level of care. The first case is a 36-year-old male with a history of spinal cord injury and bilateral above knee amputation. The patient presented with weakness and flank pain and was found to have a high white blood cell count. The speakers discuss whether the patient should be classified as inpatient or observation status. The second case involves an 82-year-old male with a history of abdominal hernia repair. The patient presented with increased abdominal pain and respiratory distress after a CT scan. The speakers discuss whether the patient should be admitted as inpatient or observation status, considering the possibility of an allergic reaction to contrast.

The Association of Physician Leadership in Care Management, or APLCM, was created to provide support and education for physicians in this field. APLCM is unique because of its connection to the American Case Management Association, focusing on the partnership and collaborative model of nurse case managers, social workers, and physicians in care management. ACMA has a rich, 25-year history of supporting the case management field.

APLCM is inclusive of all practice settings. Membership in APLCM also gives you access to all ACMA resources and benefits. Whether you're new to case management or have years of experience, APLCM membership is valuable. Gain access to professional networking opportunities and resources. Visit www.aplcm.org to learn more.

Please visit www.acmaweb.org/podcast for more information about the podcast, or contact us directly at podcast@acmaweb.org with questions, topic requests, or other feedback.

This episode is co-presented by the Association of Physician Leadership in Care Management and the American Case Management Association. In this episode, we are joined by two physicians, Dr. Rebecca Severe, a Hospital Medicine-certified physician serving as Medical Director of Care Management for Advocate Aurora Health and Dr. Sweta Singh, Medical Director of Care Management at the University of Michigan Medical School.



In this conversation, Rebecca and Sweta discuss two
different cases involving Medicare patients. The first case, a patient who underwent back surgery was initially downgraded to outpatient status, but later needed to be converted back to inpatient status. In the second case, an elderly patient with multiple medical conditions presented with lower abdominal pain after a hip replacement surgery. The decision to convert the patient to inpatient status is discussed, along with considerations for commercial payers. Overall, the conversation highlights the importance of proper documentation and timely decision-making in determining the appropriate status for patients.



The Association of Physician Leadership in Care Management, or APLCM, was created to provide support and education for physicians in this field. APLCM is unique because of its connection to the American Case
Management Association, focusing on the partnership and collaborative model of nurse case managers, social workers, and physicians in care management. ACMA
has a rich, 25-year history of supporting the case management field.



APLCM is inclusive of all practice settings. Membership in
APLCM also gives you access to all ACMA resources and benefits. Whether you're new to case management or have years of experience, APLCM membership is
valuable. Gain access to professional networking opportunities and resources. Visit www.aplcm.org to learn more.



 Please visit www.acmaweb.org/podcast for more information about the podcast, or contact us directly at podcast@acmaweb.org with questions, topic requests, or other feedback.

This episode is co-presented by the Association of Physician Leadership in Care Management and the American Case Management Association. In this episode, we are joined by two physicians, Dr. Rebecca Severe, a Hospital Medicine-certified physician serving as Medical Director of Care Management for Advocate Aurora Health, and Dr. Sweta Singh, Medical Director of Care
Management at the University of Michigan Medical School.



In this episode, our physicians discuss two intriguing cases. The first case involves a 67-year-old female with a history of COPD and aortic stenosis who presents with shortness of breath and fever. The doctors discuss whether the patient should be admitted as an inpatient or placed in observation
status. The second case involves a 71-year-old female with a history of seizures who is undergoing long-term EEG monitoring. The doctors discuss the challenges of obtaining inpatient status for planned admissions and the importance of documentation in justifying the need for inpatient care.



The Association of Physician Leadership in Care Management, or APLCM, was created to provide support and education for physicians in this field. APLCM is unique because of its connection to the American Case Management Association, focusing on the partnership and collaborative model of nurse case managers, social workers, and physicians in care management. ACMA has a rich, 25-year history of supporting the case management field.



APLCM is inclusive of all practice settings. Membership in APLCM also gives you access to all ACMA resources and benefits. Whether you're new to case management or have years of experience, APLCM membership is valuable. Gain access to professional networking opportunities and resources. Visit www.aplcm.org to learn more.



Please visit www.acmaweb.org/podcast for more information about the podcast, or contact us directly at podcast@acmaweb.org with questions, topic requests, or other feedback.