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Use Algorithm to Determine Better Med/Mal Reserves
Setting case reserves for medical malpractice cases is a challenge that requires a mixture of data, experience, wisdom, and a good bit of guesswork. The accuracy of that calculation often is attributed to the risk manager, and that can be detrimental when reality doesn’t match the prediction.
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Be Proactive, Not Reactive, With Patient Access Training
This article includes strategies to make patient access training more effective.
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Online Modules Cut 2 Weeks of Patient Access Training
New patient access employees’ training was cut by two weeks with expanded use of online training modules.
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What Do Registrars Do All Day? Many in Hospital Have No Idea
Clinicians and other hospital departments often lack even a basic understanding of the patient access role. At times, this leads to disrespectful attitudes. This article provides suggestions for improving interdepartmental relationships.
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Incorrect or Incomplete MSPQ? Either Way, It’s Lost Revenue
Incomplete or inaccurate completion of the Medicare Secondary Payer questionnaire causes significant problems for the revenue cycle.
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Is Imaging Test Needed ‘Stat?’ Don’t Risk ‘No Auth’ Denial
Payers increasingly are denying claims for “stat” imaging because of no authorization. This article describes practices that can help avoid problems.
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Cut A/R Days by 15% in 1 Year: Move Back-end Functions to Patient Access
By having patient access take on the back-end functions, claims can be processed more quickly, cutting accounts receivable days.
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Health System Included PHI in Press Release, OCR Says
Memorial Hermann Health System has agreed to pay $2.4 million to the U.S. Department of Health and Human Services and adopt a corrective action plan to settle potential HIPAA violations related to claims it included a patient’s protected health information in a press release.
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Health Promotion Advocate Extends Benefits Offered to Adolescents, Young Adults
With all they have on their plates, emergency personnel generally are not enthusiastic about taking on new preventive health initiatives, but a unique program that aims to identify and respond to risky and unsafe behaviors in adolescents and young adults who present to the ED has won over both providers and staff at Boston Medical Center.
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Technology Increasingly Helps Case Managers Engage With Patients
Technology helps case management programs improve efficiency and become faster at reacting to patient problems or anticipating issues before they occur.