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Martin Memorial Health Systems in Stuart, FL, reports an increase in authorization requirements for inpatient and outpatient accounts.
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After patient access staff at UNC Health Care in Chapel Hill, NC, began receiving bi-weekly reports on how much they collected, their performance began to improve.
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When a new emergency department (ED) bedside co-pay collection process was implemented at Middlesex Hospital in Middletown, CT, access reps were "very, very nervous about what the reaction was going to be," recalls Margaret Trudel, patient access manager.
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Claims denials often occurred because the patient's disposition didn't match up with what the Centers for Medicare & Medicaid Services (CMS) required to authorize a procedure, reports Maura Corvino, MSOL, RN, CEN, assistant vice president for emergency services and patient access at Valley Health System in Ridgewood, NJ.
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If a patient gives untruthful information to registrars to avoid paying for services, this fraud can result in dangerous clinical outcomes as well as lost revenue.
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While the possibility of using genetic information for evil, rather than good, sounds like something out of a science fiction movie, the likelihood of that happening is ever-present.
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The first-in-human clinical trials raise difficult ethical issues for researchers and review boards because of the uncertainty that accompanies them.
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Ethical questions and concerns are being raised in cities and towns all over the United States as a number of prison inmates seem to be receiving better and/or reduced rate healthcare for otherwise costly medical procedures.
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The commercial funding of continuing medical education (CME) and the potential for bias is of great concern for a significant number of healthcare practitioners and researchers, many of whom admit to being unwilling to pay higher fees to eliminate or offset commercial funding, according to a report in the Archives of Internal Medicine, (Arch Intern Med 2011;171:840-846).
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Recently Catholic hospitals have received a large amount of media coverage in the news and on the Internet stemming from certain decisions concerning healthcare and ethics.