Articles Tagged With:
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Rapid Mortality Reviews Improve Quality and Patient Safety
Staff at a California hospital found rapid mortality reviews conducted soon after a patient death resulted in the treatment team identifying opportunities to improve the patient’s care in more than 40% of the cases.
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NCQA, CMS Push for Digital Quality Measures System
Healthcare data and quality measures are fragmented across healthcare organizations and health plans, making it difficult to provide value-based care. A digital quality system could reduce the time and cost required for developing and implementing value-based care measures.
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Many Patients Worry About Hospital Bill During ED Visit
To prevent EMTALA problems, train staff well, giving them carefully drafted scripts to use for patients who insist on discussing insurance coverage before a medical screening exam.
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Copay Collection Cannot Delay Care, or Hospital Risks EMTALA Violation
Registrars should bring up payment or insurance only after a medical screening exam and stabilizing treatment has been provided. This means a patient should not be asked about copays or payment during the exam or while undergoing treatment.
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Financial Counselors Find Unmet Needs at Vaccine Clinics
Everyone has to wait 15 minutes after receiving their COVID-19 vaccine. Financial counselors at Spectrum Health make good use of this time.
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Patient Access Technology Evolving to Meet Customer Expectations
Artificial intelligence, machine learning, and predictive analytics all are available. Slowness to adopt these new tools stalls progress on a better registration experience.
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Real-Time Surveys Reveal True Feelings About Registration
The patient experience is a priority for hospitals, but typical patient satisfaction surveys are not much help to revenue cycle departments. Surveys usually do not reveal which registrar is responsible for the patient’s impression. Also, some respond to every other question in the survey, but leave the registration-related question blank for some reason. To better understand the patient experience, registrars hand out “Please tell my manager how I did” cards. The idea is to encourage patients to respond right after, or even during, their registration experience.
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If CPT Code Changes, Patient Access Can Obtain Payment
Patient access can intervene to stop an unauthorized test, assuming it is not emergent or urgent — or find out if the patient wants to go forward anyway. Registrars' expertise makes all the difference on whether the hospital is paid, and how quickly. Possibly, the health plan will agree a new authorization is unnecessary — as long as the clinical records are sent with the claim.
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Revenue Depends on Correct CPT Codes; Beware Sudden Changes
The revenue loss caused by CPT code changes is nothing short of staggering. When it comes to CPT codes that change after service, one of the biggest challenges is in the surgical space. Learn how some patient access departments are proactively addressing this problem.
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Huddles Vital to Effectively Conveying Important Safety, Risk Information
Frontline providers fully understand the importance of safety and risk information. However, considering the ease with which managers and colleagues can communicate such information, some of the most important messages can be lost or overlooked in the barrage of emails, texts, pages, alarms, and other alerts clinicians receive every day.