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Basic Coding Knowledge Allows Patient Access to Stop Denials
Inaccurate coding causes compliance issues, more denials, lost revenue, and negative patient experiences. More precise and accurate information from the onset sets the stage for correct billing, cleaner claims, and fewer denials.
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Use Personalized Calls, Transport Services to End No-Shows
Everyone forgets an appointment now and then. With some patience and persistence, registrars can prevent chronic no-shows.
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When Insurers Will Not Pay for Service Performed at a Hospital
It is not enough anymore to demonstrate that a surgery or imaging test is medically necessary. To receive reimbursement from health plans, patient access staff also must prove it is necessary for the procedure to happen at a hospital.
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Advanced Practice Providers See More Complex Patients, Sued More Often
More ED patients are visiting physician assistants or advanced practice nurses. Of 54,722 closed malpractice claims analyzed in a recent study, about 75% of claims naming advanced practice providers also named physicians.
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IHI Issues Action Plan on Patient Safety
The Institute for Healthcare Improvement’s National Steering Committee for Patient Safety recently released its national action plan, aimed at helping healthcare organizations reduce preventable medical harm.
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Investigators Raise Alarm About Prevalence, Impact of Secondary Traumatic Stress in Emergency Nursing
The fast-paced, unpredictable environment of emergency nursing can lead to trouble. Safety is an ongoing concern, considering the increasing incidence of workplace violence and the continuous flow of patients with infectious diseases. But there is another kind of stress emergency nurses may be reluctant to discuss: that which results from exposure to others’ trauma.
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Health System Sends Some COVID-19 Patients Home to Monitor Remotely
At the University of Miami (FL) Health System, certain COVID-19 patients who meet appropriate criteria can be discharged home with a device that facilitates remote monitoring by a care team operating out of the health system’s division of internal medicine.
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Better Patient Education Can Lead to Lower Medical Costs
Investigators studied five years of clinical and economic outcomes data for 1,800 patients insured through their employers. They found that when the employees participated in a web-based health literacy program, hospitalizations dropped by 32%, emergency department visits were down 14%, and overall costs declined 11%.
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College Case Managers Help Students Cope During Pandemic
College case managers work to help students navigate crises, traumas, and other problems that can affect their educational lives. But some have found the COVID-19 pandemic is a crisis that affects more students for longer than any previous emergencies they have helped students manage.
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Colleges Turn to Case Management in Response to Gun Violence
Some colleges created case management positions to help troubled students in the years following the 2007 Virginia Tech gun massacre. Case managers help students with crises, emergencies, and medical and behavioral health problems.