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Five years after the H1N1 flu pandemic, hospitals and public health authorities are dealing with a difficult aftermath: Stockpiles of N95 respirators are expiring. Rebuilding pandemic stockpiles could cost many millions of dollars and still might not provide enough protective devices.
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On August 7, 2014, the Washington high court held that the state may not board committed psychiatric patients in emergency departments (EDs) as a remedy for lack of treatment beds at certified facilities, and failure of the legislature to appropriate adequate funding for mental health services was not an excuse to allow such boarding.
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Most errors involving Medicare as a Secondary Payer Questionnaire (MSPQ) can be attributed to two things, according to Kevin Willis, director of Medicare Services in the Harrison, OH, office of Claim Services, a document retrieval company. Willis is a former Medicare Secondary Payer auditor.
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Sending the correct information to the insurance companies to show the medical need for services has become quite a task for patient access, says Aaron Robison, CHAA, a patient financial advocate at University of Utah Health Care in Salt Lake City.
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Patients are increasingly presenting with out-of-network coverage, due to more narrow networks in health plans. Patient access needs revamped processes to confirm eligibility, inform patients, and apply for patient-specific agreements.
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Although it is possible to keep training on Medicare as Secondary Payer (MSP) fairly simple, there are times when you need to stop, think, and ask a lot of questions, says Elizabeth Reason, MSA, CHAM, director of patient access for Cleveland County HealthCare System in Shelby, NC.
