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At Montefiore Medical Center in the Bronx, NY, a complex care case manager coordinates appropriate post-discharge options for uninsured and under-insured patients who are likely to need complex care after discharge.
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In Lee County Florida, providing healthcare for the uninsured and under insured is a community-wide effort, according to Chris Nesheim, RN, MS, CMAC, system director, case management, Lee Memorial Health system with headquarters in Ft. Myers, FL.
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Faced with an increasing number of patients who have no insurance and can't afford to pay for their own care, the University of Iowa Hospitals and Clinics in Iowa City, has developed a multi-pronged approach to identify indigent patients early in their stay and help them get access to community providers who can provide ongoing care.
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Provider's offices are no longer the "middleman" between schedulers and patients at Spectrum Health in Grand Rapids, MI, due to a newly implemented process.
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The second annual benchmark study by Ponemon Institute in Traverse City, MI, sponsored by ID Experts, finds that the frequency of data breaches in healthcare organizations surveyed has increased by 32%.
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Within one year, the patient access department at Advocate Illinois Masonic Medical Center, a 408-bed hospital in Chicago, reduced denials due to no benefit coverage and no authorization by 30%.
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Regardless of whether patients are covered by a commercial carrier, an employer group, or a combination of both, new processes are needed for patient access areas, says Gail Draper, director of clinic support services at University of Utah Hospitals & Clinics in Salt Lake City.
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Total point-of-service (POS) collections went from $650,000 in 2009 to $1.5 million by the end of 2011 at Advocate Illinois Masonic Medical Center in Chicago.
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Patient access staff members at University of California Los Angeles Health System are using several newly implemented automated tools to keep up with payer requirements.
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Registrars at UK HealthCare in Lexington, KY, have had great success using a real-time insurance verification tool, reports Courtney M. Higdon, director of enterprise patient access services.
