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Medical City Dallas Hospital is taking a proactive approach to Medicares prepayment review process.
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A key to the success of Monmouth Medical Centers readmission program is ensuring that patients get the care they need after discharge and understand their treatment plan and medication regimen.
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Bergein Frederick Overholt, MD, of Knoxville, TN, has been name a winner of Same-Day Surgery's Gold Star award as part of its 35th anniversary celebration. SDS is awarding Gold Stars to outstanding leaders and innovators in the outpatient surgery field.
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Mary Parker Follett, described as an influential social commentator and writer in the early 20th century, defined management as "the art of getting things done through people." She described management as philosophy.
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Before Kootenai Medical Center in Coeur d'Alene, ID, began its pain care management program, emergency department physicians were spending 36% of their work day seeing patients whose primary complaint was pain, excluding orthopedic patients and those experiencing chest pain.
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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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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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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 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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[Editor's note: Last month in Case Management Insider, we started our discussion on the case management process. We reviewed the first two steps in the process which were "selection and screening" and "patient assessment and diagnosis." In this month's edition we will continue to review the steps that case manager's use in their daily work to achieve positive outcomes for their patients and their organizations.]
