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Children often present to the emergency department complaining of headaches. While most headaches in children are not signs of serious, underlying disorders, some headaches may be the first presentation of a migraine headache. Migraine is the most common cause of recurrent, intermittent headaches in children. However, migraine headaches often are underdiagnosed and undertreated in children.
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The ED physician and trauma surgeon must have evidence-based
information on indications for emergency department thoracotomy that
can be determined rapidly, easily accessible equipment, and the ability
to recognize situations in which EDT clearly is not in the patients
best interest.
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The rehab community by and large considers the Centers for Medicare & Medicaid Services proposal to change the 75% rule a big disappointment. But providers and advocates are even more worried about the draft Local Medicare Review Policy for inpatient rehabilitation admission that three fiscal intermediaries recently proposed.
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Senate and House conferees on the Medicare prescription drug bill agreed Sept. 9 to include a one-year moratorium on the $1,590 outpatient therapy cap for 2004. But dont give a sigh of relief yet. The moratorium was among the less controversial items discussed in conference to clear the way for issues still in dispute, which means that if the entire bill doesnt go forward, neither does the moratorium.
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Rehab advocates have seen the future of inpatient rehab in a new proposed rule from the Centers for Medicare & Medicaid Services (CMS), and they say it doesnt look bright. Comments on CMS proposed changes in the criteria for classifying hospitals as inpatient rehabilitation facilities range from disappointing to disastrous.
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Youre busy with a dozen other issues when you get a phone call notifying you that a visitor has fallen in the lobby and broken her arm. Do you chalk it up to just another fall and get back to work, or do you spring into action? The answer may depend on how well youve prepared for the moment and how seriously you take slips and falls in your institution.
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Once again, a controversial ergonomics rule has come under fire; but this time, voters in Washington state will be the ones to decide whether to keep the rule or repeal it. The outcome of Initiative 841 on the Nov. 4 ballot could have implications for ergonomics efforts across the nation.
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If you think your hospital doesnt have a problem with denials, then you arent doing anything to track them, says Christine Collins, CHAM, director of patient access for Brigham & Womens Hospital in Boston. The heart of successful denial management, she emphasizes, is a denial database that categorizes the bills that are denied and the reasons why.
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