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A new study from the Dartmouth Atlas Project seems to indicate the "report card" for Medicare patients at the end of life (EOL) is a mixed bag of pluses and minuses.
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Doctors need to become more aware of how governments subtly, but profoundly, interfere with their professional obligations and results in patients' human rights being violated, says a law scholar at the Johns Hopkins Berman Institute of Bioethics in Baltimore, MD, in a commentary recently published in The Journal of the American Medical Association (JAMA).
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What is an ethical physician to do when a patient provides pertinent information but insists that it be kept "off the record?" While there is an expectation of confidentiality between doctor and patient, there are instances when a patient will only reveal certain information if the doctor agrees not to record it in their medical files.
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Would you consider one-year-old uncollected account with a large outstanding balance to be a lost cause that ultimately will need to be written off?
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Registrars at Carolinas HealthCare System in Charlotte, NC, benefit from "tricks of the trade" shared by specialists within the department, reports Christina Baugh, supervisor of PRN registrars and patient financial service specialists for corporate patient access.
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Payers are asking for more authorizations for high-dollar radiology procedures, and claims denials are resulting, reports Stephen Hovan, executive director of patient fiscal services at The University of Tennessee Medical Center in Knoxville, who adds that his department is seeing a 75% increase in authorizations for radiology processes.
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Just a couple of years ago, registrars in the emergency department (ED) at the University of Connecticut Health Center in Farmington collected only $100 to $1,000 a month in copays.
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The Access Center is the first contact that a referring physician has with the hospital, notes Bob Potter, RN, manager of access and preadmissions at University of Colorado Hospital in Aurora. "The first impression is the lasting impression," he says. "Customer service is our sole reason for existing."