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The Centers for Medicare and Medicaid Services (CMS) instructed state Medicaid agencies to develop a RAC program by Jan. 1 of this year but the program is not expected to be in full swing until well into 2013.
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Many hospital associates believe that registration staff simply sit at their desk and greet patients, reports Barbara Blum, director of access, admitting, and registration at MedStar Health in Columbia, MD. "They have no idea what the registration staff's responsibilities include," Blum says.
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The U.S. Department of Health and Human Services (HHS) has delayed the implementation of the ICD-10 procedure and diagnostic coding set, but that doesn't mean that hospitals can forget about preparing for the conversion to the new system, says Deborah Hale, CCS, CCDS, president and chief executive officer of Administrative Consultant Service, a healthcare consulting firm based in Shawnee, OK.
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Before North Broward Medical Center in Deerfield Beach, FL, re-engineered its discharge process two years ago, 29% of patients were being readmitted within 30 days. Now, the figure has dropped to 15%.
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News: In one of the largest verdicts handed down in recent Florida history, a hospital was ordered to pay $178 million in damages for permanently disabling a 38-year-old patient during gastric bypass surgery.
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Hospitals are taking a closer look at visitor access, especially in units such as obstetrics where visitors should be monitored closely, and one hospital is finding success with a key card similar to those used in hotels.
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This is a portion of the Elective Delivery Policy use at Vanderbilt University Medical Center in Nashville to minimize unnecessary deliveries before 39 weeks gestation:
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News: A 32-year-old woman presented to the hospital following a planned home delivery with the assistance of a midwife.
