Articles Tagged With:
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Fully Electronic Health Records Tied to Lower Risk of In-Hospital Adverse Events
Do EHRs improve patient safety or put patients at risk? That’s the million dollar question. -
Can members of patient access department answer toughest questions about coverage?
Many overwhelmed, confused patients turn to patient access employees to help them make decisions about healthcare coverage and even to obtain coverage. A recent Health Affairs policy brief discusses some difficult questions that often come up.
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Record high turnover: Senior registrar role ‘slows the flow’ out of patient access
In 2014, the patient access department at William Beaumont Hospital Royal Oak (MI) had a record high turnover rate.
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Create ‘culture of privacy’ in patient access areas
To prevent potential violations of the Health Insurance Portability and Accountability Act, “we need to, first, cultivate a culture of privacy within the patient access staff,” says Julie Johnson, CHAM, FHAM, director of patient access and Health Information Management and HIPAA privacy officer at Mount Graham Regional Medical Center in Safford, AZ.
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Common registration practices cause big problems with HIPAA
“Mr. Bob Jones? Your colonoscopy will take place in 15 minutes.”
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Clinical Briefs
In this section: another reason to take vitamin D supplements; polishing physical exam skills; and comparing the relationship between uric acid, fructose, and hypertension.
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Prevent denials in the first place — Training is ‘paramount’
Errors or typos made by registrars during the collection of information or during the data entry process are “extremely prevalent” in claims denials, according to Brinn Leach-Wilson, a Merritt Island, FL-based consultant with BHM Healthcare Solutions.
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Elbasvir and Grazoprevir Tablets (Zepatier)
The FDA has approved another oral interferon-free regimen for the treatment of chronic hepatitis C (HCV) genotypes 1 and 4.
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Payers claim procedures weren’t medically necessary
With medical necessity denials, “prior authorization is ‘job-one,’” says John Holyoak, director of product management at RelayHealth Financial, which is based in Alpharetta, GA.
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Did payer deny claim? Look closely to see if contract allows it
Many patient access leaders are seeing a sharp increase in claims denials, primarily due to more numerous and stringent payer requirements.