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A California hospital that settled a lawsuit claiming that it dumped an indigent, paraplegic patient in downtown Los Angeles' Skid Row in 2006 will be monitored by a former U.S. attorney for up to five years to ensure the hospital won't engage in patient dumping again.
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Every year, more than 115 million patients enter hospital emergency rooms (ER) in the United States. And many of them – as many as 75% leave the ER not really clear about what happened and what they should do next, a University of Michigan study reveals.
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No matter how positive their experiences during the discharge process, patients can feel that once they exit the hospital doors, they're in "no man's land" if issues arise later. But a process tested at Somerville (MA) Hospital showed success at bridging the gap between hospital and primary care.
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Citing improved efficiency and consistency, the Centers for Medicare & Medicaid Services (CMS) has begun transitioning the handling of hospital claim reviews from quality improvement organizations (QIOs) to fiscal intermediaries (FIs) and Medicare administrative contractors (MACs).
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In a 2005 survey of case managers and social workers who handle discharge planning in almost a dozen Florida hospitals, 30% of those surveyed described registered dietitians as "not important," to discharge planning, and 45% said they consult dietitians infrequently or not at all.
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When dealing with a patient who has no insurance and isn't, at the time of hospitalization, qualified for Medicaid, social workers and case managers have to hit the ground running to piece together options for post-acute care.
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