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Today's case managers report that they are paid more but they're working longer hours and being asked to do more documentation and paperwork.
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Putting the "know" before the "why" for patient access employees was the focus at Stevens Hospital in Edmonds, WA, during implementation of its procedure for distributing the revised "Important Message From Medicare," says Evita Armijo, patient access manager.
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A recent announcement by the Centers for Medicare & Medicaid Services (CMS) that it will no longer pay for care required because of hospital error has implications for patient access.
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Cell phones replaced land-based pagers at Richland Hospital in Richland Center, WI, when the area was hit by severe storms and flooding in late August.
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Now that the Centers for Medicare & Medicaid Services (CMS) made the decision to replace the current DRG system with the Medicare Severity-DRG (MS-DRG) system for reimbursement, hospitals will be challenged to provide accurate documentation of patient conditions in order to receive the correct reimbursement, says Deborah Hale, CSS, president of Administrative Consultant Services Inc., a health care consulting firm based in Shawnee, OK.
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Beginning Oct. 1, as part of the Centers for Medicare & Medicaid Services (CMS) shift to value-based purchasing, hospitals will have to report the "present on admission" indicator for every diagnosis reported for a patient.
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If your hospital is having difficulty complying with the new Medicare rule for notifying patients of their right to appeal their discharge, you're not alone.
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Patients at Seton Medical Center are made aware of their proposed discharge date early in the stay through a laminated poster with a Wizard of Oz theme titled "The Road Home."
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Eight Medicare chronic care improvement demonstrations cost more than they saved in their first six months, according to an early review of the programs by RTI International.
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Discharge planners/case managers are likely to encounter instances in which home care, hospice, and home medical equipment (HME) providers state that they cannot accept patients because they are "unsafe" at home.
