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Even if the patient standing in front of you obtained coverage on the Health Insurance Exchange Marketplace, the claim still could end up being denied.
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Weekly extended stay rounds help move along patients who have issues and barriers to a timely discharge, experts say.
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It seems that every year case managers are asked to take on more and more roles and functions. Every time a new rule or regulation comes out from the Centers for Medicare & Medicaid Services (CMS), administrators turn to case management as the group to take the new problem or task on. This translates to more work!
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Multidisciplinary rounds are a good way to improve throughput, reduce length of stay and readmissions, and improve patient satisfaction, experts say.
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Patient access leaders at The University of Texas M.D. Anderson Cancer Center in Houston created a visual tool in 2013 to help staff to determine the correct payer.
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Multidisciplinary rounds can be an invaluable tool for the hospital team, but only if they are well-organized and focused, experts say.
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When patients are being discharged from University of Utah Health Care, they receive a one-page handout that supplements the written discharge instructions and gives patients, in an easy-to-read format, all the information they need when they get home.
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Mercy Medical Center in Canton, OH, established daily multidisciplinary rounds at the same time the case management department was being redesigned.
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In health care every dollar spent must be justified in some way. Hospital occupational health departments and clinics might find this to be especially true since they are considered non-revenue producing departments.
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The Joint Commission recently announced that its Division of Quality Research and Measurement will study how rapid tests for influenza are implemented in outpatient medical settings including solo and group practice physician offices, community health centers, and acute care hospital emergency departments throughout the United States.