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Having a team of case managers dedicated to Medicare compliance reduced the number of admission denials from 221 in 2006 to just two by late December 2007 at The Valley Hospital in Ridgewood, NJ.
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Increased patient involvement in their own care is encouraged by The Joint Commission and other organizations as one of the keys to improving patient safety. In fact, "encouraging patients' active involvement in their own care" is one of the National Patient Safety Goals.
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Six Sigma projects at Sharp HealthCare hospitals have dramatically shortened the time that elapses between the time that discharge orders are written and the time the patient leaves the acute care setting.
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In its final rule for the Outpatient Prospective Payment System for calendar year 2008, the Centers for Medicare & Medicaid Services (CMS) took the first steps linking payment for outpatient services to the quality of care received by expanding the Hospital Outpatient Quality Data Reporting Program and requiring hospitals to report on outpatient quality measures for the first time.
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A multilevel denials management process generates $1 million or more in recovered revenue annually for inpatient accounts at the University of Pittsburgh Medical Center (UPMC), a larger health system with 20 medical facilities.
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The Centers for Medicare & Medicaid Services (CMS) has announced sweeping changes to the Outpatient Prospective Payment System (OPPS) that may significantly affect your hospital's revenue.
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Physicians pressed for time need to note whether their patients truly comprehend what they're being told and what they read about their medications; deficient health literacy is being counted as one contributor to health care disparities in some populations.
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The Bioethics Resource Group (BRG), a medical ethics education organization in Charlotte, NC, voted to shut itself down in December after 22 years in which it fostered hospital ethics committees and educated clinicians on advance directives and do-not-resuscitate orders.
