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Next month's issue will focus on saving money and generating revenue in outpatient surgery.
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Alert fatigue can lead to behaviors in health care that might seem fine until the day they cause a tragedy, says John Banja, PhD, assistant director for health sciences and clinical ethics at Emory University in Atlanta.
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Like most, I was inspired by the rescue of the Chilean miners in October. I felt an enormous urge to accomplish something significant, to finish projects I had left dangling or follow up on other issues that individually weren't a big deal but collectively were.
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Now that the permanent Recovery Audit Contractor (RAC) program has gone into high gear, hospitals can lessen their vulnerability to losing revenue if they know how to respond and what to expect, says Deborah Hale, CCS, president of Administrative Consultant Services LLC, a health care consulting firm based in Shawnee, OK.
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As a case manager on the congestive heart failure unit at Danbury Hospital, Karen Morgan, RN, MSN, CCM, RN-BC, often manages the care of elderly patients.
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As Karen Morgan, RN, MSN, CCM, RN-BC, makes rounds with the rest of the treatment team on Danbury Hospital's heart failure unit, she uses her knowledge as a certified gerontology nurse to point out the special considerations that the elderly patients on the unit may need.
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Every summer The Joint Commission issues a list of those standards hospitals find most difficult to comply with. Among those challenging standards are three that experts say most directly impact the ED:
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Analyze the data in your hospital's Program for Evaluating Payment Patterns Electronic Report (PEPPER) to identify areas where your hospital may be vulnerable to denials from the Recovery Audit Contractors (RACs), suggests Deborah Hale, CCS, president, Administrative Consultant Services LLC, a Shawnee, OK, health care consulting firm.
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By developing a case management model that frees RN case managers to do what they do best coordinate care Fauquier Hospital in Warrenton, VA, has reduced its average length of stay without affecting the readmission rate.