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Already burdened with increased demand for medical services, EDs across the country are also seeing a spike in the number of patients who present with behavioral health issues.
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A new study suggests that there are serious problems with the Centers for Medicare and Medicaid Services' (CMS) new imaging efficiency measure for ED use of computed tomography (CT) for headaches.
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A proactive approach to engage at-risk members before they have an adverse medical event is paying off for CareFirst BlueCross and Blue Shield, a Baltimore-based health plan.
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When an interdisciplinary team including patient access, insurance verification, and radiology personnel was formed to reduce claims denials, "realizing where denials are coming from was definitely our first step," reports Brian A. Todd, CHAM, manager of patient access staff development and training at Lourdes Health System in Camden, NJ.
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Hard hit by one of the worst recessions in nearly a century, hundreds of thousands of Californians lost insurance coverage across the state as employers shed jobs and the health plans that came with those jobs, according to a report from the University of California, Los Angeles (UCLA) Center for Health Policy Research.
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New research suggests weight training for two years significantly improves the motor symptoms of Parkinson's disease compared to other forms of exercise such as stretching and balance exercises.
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As they go about their day-to-day activities, case managers should take steps to protect themselves from possible legal action if the patients whose care they manage experience an adverse outcome.
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A study published in The Journal of the American Medical Association (JAMA) found that there is no significant difference between safety-net and non-safety-net hospitals when it comes to the length of stay for emergency patients.