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When it came to streamlining the way patients, referring physicians, and other interested parties contact Geisinger Health System in Danville, PA, for various access-related services, it seems that one good idea led to another.
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If the front end would just get it right when the patient first comes in . . . goes the refrain from billers, or the CFO, or some other party focused on putting the blame for unreimbursed care at the feet of the access department. But when a substantial number of patients walk in without insurance coverage at the time of care or are emergency patients who dont have their insurance information with them, its not quite that simple.
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Its easy to make the case that many administrative transactions health organizations routinely handle in-house can be done better, faster, and more cost-effectively by outside vendors. Yet less than 1% of health organizations outsource all of their revenue cycle processes.
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Access departments are playing with fire if they dont consistently obtain consent for treatment before treatment is given, emphasizes Susan Baxley, corporate admitting manager for Sacramento, CA-based Adventist Health System.
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Study: Growth slows in health care spending; OIG seeks proposals for safe-harbor provisions; AHA survey shows hospital use rising; CMS publishes quality survey tool
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Health Privacy Project executive director Janlori Goldman said that while many glitches and misinterpretations of the HIPAA privacy regulation have been resolved, others remain and should be addressed by the Department of Health and Human Services or Congress.
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In testimony late last year before the Department of Health and Human Services National Committee on Vital and Health Statistics Subcommittee on Privacy and Confidentiality, Health Privacy Project executive director Janlori Goldman submitted 13 common myths that persist about the HIPAA privacy regulation and the facts that respond to those myths.
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Rhode Islands Seacrest DocSecurity surveyed more than 500 physicians nationwide late in 2003, questioning them on requirements that insurance companies ask for before underwriting physicians and hospitals for insurance, and concluded that while physicians generally believe they are HIPAA-compliant, in fact they have only met a portion of the HIPAA requirements, leaving them vulnerable to lawsuits.
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