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When hospital VIPs at Lourdes Health System in Camden, NJ, expressed concern over the fact there were so many claims denials for no authorization, Joan Braveman, corporate director of patient access, asked for data. She began studying the "no auth" denials.
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Reduced collection cost and better patient satisfaction were the two major benefits of collecting copays at the time of service that were identified by patient access leaders at Cooper University Health System in Camden, NJ.
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Continuing to emphasize the importance of discharge planning and preventing unnecessary readmissions, the Centers for Medicare & Medicaid Services (CMS) has issued a revised set of Discharge Planning Interpretive Guidelines that surveyors will use to assess a hospital's compliance with Medicare's Conditions of Participation.
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Looking for some inspirational reading that can actually help you do a better job?
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If payer claims data creates a more robust picture of the cost and quality of care provided, then more data is better. But until recently, organizations that want to make use of data were doing without anything much from the Centers for Medicare & Medicaid Services.
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It always comes down to communication, right? In an effort to further emphasize improved communications along the healthcare continuum, the Centers for Medicare & Medicaid Services (CMS) has revised its Conditions of Participation (CoPs) for discharge planning. This comes just as the organization will begin doing surveys related to discharge planning procedures.
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No one expects the wrongs of millennia to be righted overnight, but it seems as if not a lot has changed every year when the Agency for Healthcare Research and Quality (AHRQ) releases its annual report on healthcare disparities.
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It has been more than 30 years since the Centers for Medicare & Medicaid Services (CMS) moved from using a chart review process to implementation of standardized measures as a way to determine the quality of care patients receive.
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Johns Hopkins researchers say they have uncovered an unintended consequence of the move in recent years to reduce the legend-arily long and onerous work hours of interns. Shorter work hours can increase the risks of patient handoff, they say.
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A study on 74,000 patients in 74 US intensive care units found that using antibacterial soaps and ointment on all intensive care patients can reduce infection with methicillin-resistant Staphylococcus aureus.
