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Centers for Medicare and Medicaid Services (CMS)

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  • Joint Commission's Wyatt says collaboration is the key

    Ronald Wyatt, MD, MHA, has spent 20 years working in just about every kind of healthcare setting imaginable primary care, emergency medicine in a VA hospital, nursing homes, as a sole practitioner and in a multispecialty setting.
  • Stroke reduction gets another weapon

    Within days after The Joint Commission announced that it would begin certifying applicants for comprehensive stroke centers, there were dozens of hospitals either waiting for site visits or preparing their applications in the hope of getting certified this year.
  • Waiting for the waiting to end

    Ask passersby in a hospital hallway what they think the biggest problem is in the emergency department, and one of the most common answers will likely be something about the influx of uninsured patients who use the ED as their primary care physician.
  • Patient’s coverage inactive? Say this

    A patient recently registered at Denver-based Porter Adventist Hospital had just lost his job and employer-sponsored insurance, and he was under the mistaken impression that COBRA coverage was automatic.
  • Top performer to train ED registrars

    Since copayments first were collected in Cambridge (MA) Health Alliance’s three emergency departments (EDs) in October 2008, collections have increased 140%, totaling $173,000 in fiscal year 2009 to an expected $416,000 in fiscal year 2012.
  • Some access info not good for e-learning

    When patient access leaders had to select a subject for the first e-learning module developed at St. Luke’s University Health Network in Allentown, PA, they chose computer downtime procedures
  • Struggling collectors may need to try harder

    While a small group of registrars at Legacy Health in Portland, OR, were effective collectors, and most were trying their hardest, about one-third weren’t making much of an effort to collect anything at all.
  • Cover training needs by adding e-learning

    Previously, it took some patient access employees over an hour to travel up to 40 miles to a training site for required education at St. Luke’s University Health Network in Allentown, PA. Now, employees can take some of the training right from home or at their current facility.
  • Multiple authorizations for single procedures

    We are now receiving denials for failing to obtain authorization for the medication in those injections. This is something we had not seen previously,” reports Jeanette Foulk, director of patient access at Methodist Charlton Medical Center in Dallas.
  • Wrong primary payer? Bad info equals denials

    Registrars might learn more information after asking patients with inactive coverage, “While reviewing your insurance, we are getting notification that you have another primary payer. Do you have any other insurance?