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Last December, Blue Cross Blue Shield of Michigan (BCBSM) in Detroit mailed coupons to about 7,000 member homes. These coupons waived the copayment when members tried a generic version of a brand-name drug for the first time.
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In an effort to reduce medical errors and comply with patient safety standards, one Georgia medical center has turned to automation.
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Notifying patients of their privacy rights under the Health Insurance Portability and Accountability Act (HIPAA) is one of the tasks that fall most squarely onto the shoulders of access managers.
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Recruiting and retaining qualified employees is an ongoing concern for access managers, who are in the position of offering comparatively low wages for a job that just keeps getting more complicated.
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Hospitals that have long designed and used their own advance beneficiary notices (ABN) to inform patients that a service is not likely to be covered by Medicare now should be using a form released by the Centers for Medicare & Medicaid Services (CMS).
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As hospitals design policies in response to demands of the new privacy rule under the Health Insurance Portability and Accountability Act (HIPAA), access managers are faced with implementing the fine points of the procedures that will be required.
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With Health Insurance Portability and Accountability Act (HIPAA) compliance and post-Sept. 11 security concerns in mind, Ohio State University Medical Center in Columbus has revamped its policies and procedures regarding the release of information on patients religious preferences, says Shannon Haager, assistant director of patient access services.
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Hospitals are running the gamut of possible solutions as they struggle to interpret the provisions of the HIPAA privacy rule, says Tony Mogavero, director of physician services for St. Petersburg, FL-based John Putnam International, a company that provides web-based and teacher-led education for access personnel.
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With long-term care increasingly a principal driver of higher Medicaid costs for many states, program directors are hoping increased cooperation between states and the federal government will help ease the pressure.
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The Washington, DC-based Economic and Social Research Institutes report on possible approaches to expanding health coverage for the uninsured notes that one of the contentious issues is defining the benefit package to be provided.
