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Case management is a managed care technique within the health care coverage system of the United States. It involves an integrated system that manages the delivery of comprehensive healthcare services for enrolled patients. [ 1 ]
A man who once ran more than 100 nursing homes from an office over a New Jersey pizzeria has pleaded guilty in connection with what federal prosecutors called a $38 million payroll tax fraud scheme.
Primary Care Case Management (PCCM) is a system of managed care in the US used by state Medicaid agencies, in which a primary care provider is responsible for approving and monitoring the care of enrolled Medicaid beneficiaries, typically for a small monthly case management fee in addition to fee-for-service reimbursement for treatment. [1]
Medical case management is a collaborative process that facilitates recommended treatment plans to assure the appropriate medical care is provided to disabled, ill or injured individuals. It is a role frequently overseen by patient advocates. [1]
Schwartz was the owner of Skyline Management Group LLC., originally maintained headquarters in Wood-Ridge, which ran 95 nursing homes across 11 states and employed approximately 15,000 people.
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In states that have filial responsibility laws, nursing homes may seek reimbursement from the residents’ children. The Act also makes any individual with home equity above $500,000 ineligible for Medicaid nursing home care, although states may raise this threshold as high as $750,000.
A nursing home is a facility for the residential care of older people, senior citizens, or disabled people. [1] Nursing homes may also be referred to as care homes, skilled nursing facilities (SNF) or long-term care facilities.