By locating a social worker in a hospital ED to help members overcome barriers to primary care, Horizon NJ Health, a West Trenton, NJ-based managed care organization, was able to decrease ED visits by 45% among its members who had a face-to-face conversation with the social worker.
Opioid use for patients with advanced illness has been the focus of controversy and misconceptions, even among health care practitioners, an expert notes.
Designating a staff member as the "coding expert" for your agency is one way to ensure accurate reimbursement; but the person does not have to be a certified coder to help your agency understand the myriad codes and guidelines.
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.
