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With the number of uninsured patients increasing rapidly, the case management and social work staff at North Broward Medical Center are faced with the challenge of making sure patients receive the follow up they need to stay healthy and out of the hospital.
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"We try to address the issue of continuum of care, explaining to the family why members are at the current level of care, and when and where they should receive care in the future. We work with the discharge planners at the facility to help the member transition between levels of care," King says.
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The biggest challenge that home health managers will face with the proposed OASIS C is the addition of 30 process measures that will affect outcomes.
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Although the proposed OASIS C is often described as more user-friendly than the current OASIS, the addition of process measures will be a major change for many agencies.
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Patient access staff will have to get used to a change for Medicare patients, with the new Advance Beneficiary Notice of Noncoverage (ABN) form now used for all situations where Medicare payment is expected to be denied. The form, implemented by the Centers for Medicaid & Medicare Services (CMS), becomes mandatory
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A comprehensive system to ensure that patients with pneumonia receive recommended care resulted in a significant increase in quality measure scores at Mission Hospital in Asheville, NC.
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After Concord (NH) Hospital's multidisciplinary cardiac care team began holding daily collaborative rounds with patients and family members on the cardiac patient care unit, length of stay decreased and patient satisfaction scores rose.
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The largest health plans appear to be in the process of adopting guidelines from the Workgroup for Electronic Data Interchange (WEDI) for machine-readable insurance cards, according to Peter Barry, of Peter T. Barry Co., a Milwaukee-based consulting firm specializing in health care and information systems. Barry is chair of WEDI's initiative on health identification cards.
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If your hospital is like most, patients admitted through the emergency department are being held, possibly in hallways, for hours and even days.
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In today's health care environment, case managers are under more pressure than ever to discharge patients from acute care; but before you send patients home with home health care, home medical equipment, or hospice services, make sure that they are appropriate for those services, advises Elizabeth Hogue, Esq., a Washington-DC based attorney specializing in health care issues.