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By conducing real-time concurrent denials management, Jewish Hospital and St. Mary's Healthcare, a not-for-profit health care system in Louisville, KY, keeps its average denials rate below 1%, consistently exceeding the hospital's goal of a denials rate of under 2% for commercial patient days, including Medicare managed care patients.
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As reimbursement shrinks and health care providers tighten their belts, hospitals need to take a proactive approach to denials to make sure they get paid appropriately for the care they provide, experts say.
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If there are any doubts that improving patient flow also enhances patient safety, the recent experience of the ED at Enumclaw (WA) Regional Hospital should dispel them.
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By redefining the roles of case managers and social workers and working with physicians on patient throughput and length of stay, Fauquier Hospital in Warrenton, VA, significantly reduced its Medicare length of stay by almost a day and decreased the revenue lost because of denials by medical necessity by 70%.
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By taking a proactive approach to patient status and instituting a series of checks and balances, Good Samaritan Hospital in Dayton, OH, keeps denials at a minimum.
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Previous investigation of cervical cancer biology has revealed a dependence on VEGF, among other factors, for growth and metastases.
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To assess the effect of screening mammography on breast cancer mortality, the authors used data from the Norwegian Breast Cancer Screening Program to observe chronologic trends associated with screening as well as advances in breast cancer awareness and treatment.
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The Centers for Disease Control and Prevention has just released Sexually Transmitted Disease Surveillance, 2009.