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Pregnant women who come to the ED with abdominal pain often are misdiagnosed and undergo unnecessary appendectomies, says a new study.
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Three years ago, the management team at Orlando Regional Healthcare System took a hard look at managed care denials, recalls Craig Pergrem, CHAM, MBA, corporate director of patient business, and asked, "What can we do to stop the bleeding?"
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By reviewing the discharge dispositions of patients whose hospital stay was covered by the Medicare post-acute transfer rule, Jupiter (FL) Medical Center in Florida was able to generate an additional $108,000 in reimbursement in just one year.
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Faced with an audit that eventually revealed millions of dollars in Medicare overpayments for short-stay patients placed in the wrong admission status, Saint Joseph's Hospital in Atlanta began a series of proactive steps to correct the problem, educate staff, and assure that InterQual criteria are applied correctly.
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If your case management department isn't involved in the business side of health care, you're missing opportunities to affect your hospital's bottom line and to ensure that your patients get the most effective, cost-efficient care.
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Proteomic and molecular genetic testing is a critical part of the diagnostic algorithm for limb girdle muscular dystrophy (LGMD).
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Two recent studies suggest that rapid TIA evaluation and treatment can reduce stroke risk.
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Axonal neuropathy is common in patients with biopsy-proven small vessel systemic vasculitis (SVSV), and responds to immunosuppressive therapy.
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As the use of hospitalists continues to grow, the ability to demonstrate the benefits of having these professionals on staff also grows in importance. Accordingly, the findings of a new study in the New England Journal of Medicine1 should be of particular interest to quality managers.
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The headline pulls no punches. It reads: "Ventilator-associated pneumonia the wrong quality measure for benchmarking."
