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More than a year after implementation of the Medicare outpatient prospective payment system (OPPS), there are unexpected variances in the assignment of evaluation and management (E&M) codes on claims from EDs, suggesting many are undercoded or overcoded and may risk compliance charges.
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To explain how EDs often leave themselves open for liability when treating headaches, Diane M. Sixsmith, MD, MPH, FACEP, chairman of emergency medicine at New York Hospital Medical Center of Queens in Flushing, tells a story, based on a real incident, in which everything went wrong.
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One part of the special cardiac care program that helped Florida Hospital in Orlando receive accreditation as a chest pain center is the Code STEMI program. Code STEMI stands for segment elevation myocardial infarction and results in the patient being transported quickly from the ED to the catheterization lab.
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Correct control chart selection is a critical part of creating a control chart, according to PQ Systems, an industry leader in the manufacturing of statistical process control (SPC) and quality control software based in Miamisburg, OH.
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A physician champion made all the difference when Methodist Medical Center (MMC) in Oak Ridge, TN, started its CareTrax clinical pathway system in 1993, says Coletta Manning, RN, MHA, CPHQ.
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By tracking length of stay and direct variable cost of care, the case management department at Covenant Health System, based in Knoxville, TN, was able to show a savings of $3.6 million in the first three quarters of last year and a denial rate of less than 1% at most of its facilities.
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A once-a-day dose of a valacyclovir reduces the rate of transmission of genital herpes (HSV-2) from an infected partner to an uninfected susceptible partner, according to a new study.
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A once-a-day dose of a valacyclovir reduces the rate of transmission of genital herpes (HSV-2) from an infected partner to an uninfected susceptible partner, according to a new study.
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Stiell and associates, convinced that the National Emergency X-Radiology Utilization Study Low-Risk Criteria rule leads to unnecessary testing and delayed triage of patients in the ED, developed the Canadian C-Spine Rule to assess alert, stable patients for traumatic cervical spine injury.
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Fourteen consecutive patients with sciatica were enrolled in this open-label trial of lamotrigine to determine its efficacy in pain control and its dose response curve.