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Stop Denied Claims for Patients Discharged With Complex Needs
Some hospitalized patients have complex discharge needs. While many of these needs are clinical, patient access can help with coverage issues.
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The Virtues of Real-time Registrar Observation
Patient access leaders can learn a lot from annual evaluations or soliciting feedback at staff meetings. But, sometimes, they learn even more from observing an employee during a shift.
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Auth Already in Place as Payer Requires? Claim Still Might Be Denied
Patient access diligently obtains a required authorization from the payer and the service is scheduled. Weeks later, the claim is denied. However, it is not for “no auth,” but because the payer says it was not medically necessary.
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Is Patient’s Complaint Exaggerated? Recordings Tell the Real Story
Are patient access staff explaining consent forms accurately to patients? Are they interpreting and explaining insurance benefits correctly? Face-to-face recordings of registrations let patient access leaders at one facility know these things for certain.
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Quality Assurance Dashboard Spotlights Issues
Manual processes are no longer enough to conduct the kind of quality assurance patient access leaders need.
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Patients Want Self-service Estimates and Exact Dollar Amounts
Price transparency and price estimates have been two critical focus areas for one hospital's financial services team for more than two decades.
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Big Expectations for ‘Transparent’ Costs: Can Patient Access Meet Them?
Calls for healthcare transparency are growing louder. Smart patient access departments are heeding those calls. Several states have passed laws requiring that hospitals provide price quotes on request. Generic information isn’t enough; it must be personalized according to the patient’s insurance.
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Update on the Management of Hypertension in the Emergency Department
This article will provide emergency physicians with a roadmap to help navigate the evaluation and management of hypertension in the emergency department.
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Trauma Mythology: Looking Beyond the ABCD and ATLS
This article examines some commonly held assumptions related to the emergency care and stabilization of trauma patients. It provides the practicing clinician with information needed to inform important clinical decisions about spinal immobilization, thromboelastography, direct oral anticoagulants (DOACs), and the Focused Abdominal Sonography in Trauma (FAST) exam.
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AOHP, NIOSH Update Respirator Resources
The Association of Occupational Health Professionals in Healthcare has updated its Web Resources Guide, which includes links to all manner of regulations, guidelines, and training materials by federal agencies and healthcare organizations.