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Patient access employees probably believe that insurance companies have an obligation to fully inform consumers about the coverage they're getting. Unfortunately, this belief doesn't always translate into reality.
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To determine if patient access processes for financial counseling are getting good results, Jen Nichols, senior director of revenue cycle operations at Kaleida Health in Buffalo, NY, keeps a close eye on these metrics.
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If healthcare of the past was about how much you do, then healthcare of the future is about making sure you do it well and for a good price.
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Youve had that experience before: You say something innocuous and someone takes umbrage. You meant no harm. Indeed, you did not mean it the way they took it at all.
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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.
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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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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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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 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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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.
