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If you haven't started analyzing your hospital's readmission rates and the role case managers can play in reducing readmissions, it's time to start so your hospital can avoid penalties from the Centers for Medicare & Medicaid Services (CMS).
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In an effort to ensure that the patients most vulnerable for readmission stay safe at home after discharge, Lutheran Medical Center is developing a pilot program with a local home care agency to provide at least one home care visit for the majority of congestive heart failure patients going home with no services.
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By redesigning its case management program and beefing up technology, Saint Thomas Health Services reduced the average length of stay systemwide by 0.20 days and saved more than $6 million in just two years.
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In preparation for the Recovery Audit Contractors (RACs) and to improve patient flow, Durham Regional Hospital redesigned its case management department and moved to a triad model of patient care.
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The Medicare Secondary Payer questionnaire is not complete. The Medicare number is missing from a replacement plan. The subscriber name or date of birth is a mismatch. An account has incorrect insurance coded for third-party liability.
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(In this second of a two-part series on innovative care and pricing plans being used for outpatient surgery, we tell you how a facility offers a guarantee involving complications and billing insurance. In last month's issue, we told you how Geisinger Health System in Danville, PA, has used a checklist of best practices to save money, plus implemented a price guarantee for members of its health plan.)
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Surgeons who are burned out or depressed are more likely to say they had recently committed a major error on the job, according to the largest study to date on physician burnout.
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Be prepared, that old Boy Scout motto, is being applied with great success to operating room patients whose anatomy might make it difficult for physicians to help them breathe during surgery, Johns Hopkins researchers report in a new study.
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There are many accreditation standard changes by the Accreditation Association for Ambulatory Health Care (AAAHC) effective with this month's publication of the 2010 Accreditation Handbook for Ambulatory Health Care.
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Cases of methicillin-resistant Staphylococcus aureus (MRSA) are increasing among outpatients and driving up costs; in fact, a just-released study indicates that the proportion of MRSA increased more than 90% among outpatients with staph over the course of the study.
