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Over the last 20 years, the typical American has seen exposure to ionizing radiation double. Most of the time, patients are sent for imaging without the prescribing physician having any idea of how much other radiation the patient has been exposed to.
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Florida has joined a rarified group of states that provide no protection for any documents produced as part of peer review for non-physician providers.
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Previously, case managers at University of Louisville (KY) Hospital were assigned by service, and "they were all over the place," says Mary G. Lawson, BSN, MPA, director of admissions.
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While payers used to encourage registrars to notify them that a patient was hospitalized, they are now requiring it, says Mary G. Lawson, BSN, MPA, director of admissions at University of Louisville (KY) Hospital,.
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If registration goes smoothly, that great experience is going to carry through the rest of the patient's stay, according to Betty Bopst, director of patient access at Mercy Medical Center in Baltimore, MD.
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In 2010, Sutter Health Sacramento (CA) Sierra Region, which consists of eight acute care hospitals, saw a 30% increase in its uninsured population.
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When attempting to collect prior balances, registrars at Fairview Northland Health Services in Princeton, MN, often come across patients who are unprepared to pay the amount or don't realize they have a balance.
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Registrars at Fairview Northland Health Services in Princeton, MN, started collecting prior balances about a year ago, says Steph Collins, manager of patient access.
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If a registrar tells a patient that he or she owes $500, he or she might be faced with the question, "Well, where did you get the amount of $500 from?"
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One question that members of Tallahassee (FL) Memorial's patient access department have struggled with is whether it makes sense to keep going after a person who simply has no resources, says Joan S. Braveman, director of patient access and financial services. The department installed software in August 2010 that gives customer service representatives the ability to look at how likely a patient is to pay.