Hospital
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Early Warning in EHR Decreases ICU Transfers After Rapid Response Team Calls
Alerting ICU nurses to patients’ early warning scores can decrease rapid response team calls and transfers to intensive care after a call, one hospital found.
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Team’s Goal Involved Reducing ED Visits With Case Management Follow-up
Sentara Medical Group in Norfolk, VA, developed a plan to reduce ED utilization and readmissions. The organization’s risk-sharing contracts provided an incentive and extra boost to its efforts.
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Resident-to-Resident Violence Can Lead to Patient Deaths
Aggression among dementia patients is not uncommon, and long-term care facilities should have adequate staff on hand to prevent it from occurring.
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Stay Alert to Signs of Elder Abuse: Think of Falls, Resident Violence
Elder abuse harms more than one million Americans, and case managers should know how to identify it by assessing patients for signs of harm.
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Federal Court Affirms No Private Right of Action
A federal judge recently affirmed that HIPAA does not provide a mechanism for individuals to sue when they believe their privacy rights have been violated. However, the decision probably will not stop individuals from thinking they have the right to sue.
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Educate Staff on Criminal Prosecution Risk
Criminal prosecutions for HIPAA violations appear to be increasing, putting both individuals and healthcare organizations at risk for more than just monetary penalties and regulatory burdens.
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Three Key Areas of Expertise
Customer service, critical thinking, and flexibility are important skills for the ongoing success of patient access departments.
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Stop Denied Claims for Patients Discharged With Complex Needs
Some hospitalized patients have complex discharge needs. While many of these needs are clinical, patient access can help with coverage issues.
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The Virtues of Real-time Registrar Observation
Patient access leaders can learn a lot from annual evaluations or soliciting feedback at staff meetings. But, sometimes, they learn even more from observing an employee during a shift.
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Auth Already in Place as Payer Requires? Claim Still Might Be Denied
Patient access diligently obtains a required authorization from the payer and the service is scheduled. Weeks later, the claim is denied. However, it is not for “no auth,” but because the payer says it was not medically necessary.