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The initial notice of audit from the Department of Health and Human Services' Office for Civil Rights (OCR) asks for a significant amount of documentation and information to be submitted within 10 days of the notice date, but that will not be the end of information for which you'll be asked, says Mac McMillan, chief executive officer of CynergisTek, an information technology security consulting company, who advised a Texas hospital included in the initial audits.
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Two years ago, patient access leaders at Hackensack (NJ) University Medical Center "had everyone doing everything," says Anne Goodwill Pritchett, MPA, FHFMA, vice president of patient financial services. "We found that for us, that was not the best way to do it."
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When Diane C. Settle, CPA, CHFP, became executive director of revenue cycle at Sarasota (FL) Memorial Health Care System in 2005, no upfront cash collection was done at all.
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Registrars at St. Luke's Episcopal Hospital in Houston, TX, are using a tool to validate a patient's identity using name, date of birth, address, and social security number during the registration process, reports Na Toshia Joseph, manager of patient access services/quality and process improvement.
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Often, physician offices aren't aware of the differences between hospital insurance requirements and provider requirements, which creates tension between the two areas, says Kellie Hawkins, director of patient access for Shady Grove Adventist Hospital in Rockville, MD.
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The Federal Trade Commission (FTC) has issued a final report outlining best practices for businesses to protect the privacy of American consumers and give them greater control over the collection and use of their personal data.
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A patient access employee working in central admitting has different training needs from someone working in radiology, the emergency department, or same-day surgery.
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Your registrars might not have a medical background, but that doesn't mean they can't potentially save a patient's life.
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Patient access staff at Phoenix Children's Hospital have experienced all of these changes in the department in the past few years, reports Irma Becker, manager of patient access:
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About 15% to 20% of self-pay patients qualify for Medicaid, which represents more than $12 million in gross revenue, at Riverside Regional Medical Center in Newport News, VA.
