Articles Tagged With:
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ED Misdiagnosis Case Alleged Failure to Use Decision Tool
Failure to obtain an ordered ECG, failure to use a decision tool, and anchoring bias were factors in a recent ED malpractice claim alleging missed pulmonary embolism.
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Is ED Patient’s Conduct a Viable Defense Strategy?
The plaintiff in one malpractice claim had been seen in the ED for injuries he sustained while fleeing the scene of a crime. However, it was unclear whether a jury would ever get to hear about the patient’s criminal conduct.
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Study: Electronic Medical Record Design Flaws Can Hurt Patients
Patients can be harmed when there are problems in electronic medical records related to how information is conveyed to other providers and how test results get displayed, according to a recent study.
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Federal Court Affirms No Private Right of Action
A federal judge recently affirmed that HIPAA does not provide a mechanism for individuals to sue when they believe their privacy rights have been violated. However, the decision probably will not stop individuals from thinking they have the right to sue.
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Educate Staff on Criminal Prosecution Risk
Criminal prosecutions for HIPAA violations appear to be increasing, putting both individuals and healthcare organizations at risk for more than just monetary penalties and regulatory burdens.
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Three Key Areas of Expertise
Customer service, critical thinking, and flexibility are important skills for the ongoing success of patient access departments.
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Stop Denied Claims for Patients Discharged With Complex Needs
Some hospitalized patients have complex discharge needs. While many of these needs are clinical, patient access can help with coverage issues.
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The Virtues of Real-time Registrar Observation
Patient access leaders can learn a lot from annual evaluations or soliciting feedback at staff meetings. But, sometimes, they learn even more from observing an employee during a shift.
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Auth Already in Place as Payer Requires? Claim Still Might Be Denied
Patient access diligently obtains a required authorization from the payer and the service is scheduled. Weeks later, the claim is denied. However, it is not for “no auth,” but because the payer says it was not medically necessary.
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Is Patient’s Complaint Exaggerated? Recordings Tell the Real Story
Are patient access staff explaining consent forms accurately to patients? Are they interpreting and explaining insurance benefits correctly? Face-to-face recordings of registrations let patient access leaders at one facility know these things for certain.