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A pilot program under way in Tucson, AZ, aims to direct uninsured patients who show up for care in the hospital emergency department to a nearby primary and specialty care clinic where they can find an ongoing medical home, says Nancy Johnson, RN, PhD(c), executive director of St. Elizabeth of Hungary Clinic.
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Patients' right to freedom of choice of providers has been a source of continuing conflict, especially between hospitals and post-acute providers not owned by or affiliated with hospitals -- so-called freestanding providers.
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Failure to adequately prepare for the advent of the National Provider Identifier (NPI) will have a significant impact on provider reimbursement.
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While the impact of new hospital billing forms will be felt more by the business office than the front end, access personnel also should be aware of the change, since the information they collect feeds into the billing system.
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The state of New York has taken a step toward ensuring consistency in the provision of language assistance services to hospital patients with limited English proficiency (LEP).
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A potentially onerous hospital discharge rule proposed in April 2006 by the Centers for Medicare and Medicaid Services (CMS) is significantly less burdensome in its final form.
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Even after 30 years, the outpatient surgery field still is constantly adjusting to changes in procedures, policies, and payments. Consider these recent actions:
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As outpatient surgical care has shifted from hospitals to alternative locations, the patient safety and quality regulations and the cost and quality reporting requirements have not moved into that setting, says Ellen Pryga, director of policy for the American Hospital Association in Washington, DC.