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Case managers have been an integral part of the discharge planning process for decades. Typically this process has involved an in-depth assessment of the patient, which has included their clinical as well as psychosocial, financial and living situations
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The Centers for Medicare & Medicaid Services Probe and Educate initiative to determine hospitals compliance with the two-midnight rule makes it clear that case managers must review physician documentation as well as medical necessity.
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At Greater Baltimore (MD) Medical Center, patient access managers use extensive training, scripting, and role-playing to increase point-of-service collections in the emergency department (ED).
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Accurate productivity data is critically important to adequately staff registration areas, but patient access leaders often lack technology to capture this information.
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The National Comprehensive Cancer Network (NCCN) has launched its Reimbursement Resource App, which offers providers, case managers, patients, and payers access to payment assistance and reimbursement programs for multiple cancer types.
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When monitoring productivity of patient access staff, managers should use subjective and objective methods, recommends Mark S. Rodi, MHA, CHAM, associate vice president of revenue management at Geisinger Health System in Danville, PA.
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Emergency department (ED) collections more than doubled with a quality assurance tool at Greater Baltimore Medical Center, and a check-out process allowed ED registrars at University of Utah Hospital to collect $295,000 in FY 2014. They now increase ED collection goals between 5% and 10% each year.
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If providers fail to keep automated price estimators up-to-date on contract terms and historical claims, incorrect estimates will occur.
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How do you protect a patients privacy? Some patient access employees get a deer-in-the-headlights look when surveyors ask this simple question, says Michael Sciarabba, MPH, CHAM, director of patient access at University of California, San Francisco.