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When a health plan, a physician network, and a hospital teamed up to reverse the trend of Medicare hospital readmissions within 30 days of discharge, readmissions dropped by 30% or more over an eight-month period when compared to the readmission rate in the same hospital the previous year.
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There is no question about it: Occupational Safety and Health Administration (OSHA) violations for recordkeeping are increasing significantly, and companies are getting hit with heavy fines.
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If employees don't trust you, they probably won't listen to your advice, agree to take a health risk assessment, or participate in your wellness programs.
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New and better tools are needed to measure employee productivity, according to a new position paper.
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By taking a proactive approach to patient status and instituting a series of checks and balances, Good Samaritan Hospital in Dayton, OH, keeps denials at a minimum.
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By redefining the roles of case managers and social workers and working with physicians on patient throughput and length of stay, Fauquier Hospital in Warrenton, VA, significantly reduced its Medicare length of stay by almost a day and decreased the revenue lost because of denials by medical necessity by 70%.
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If there are any doubts that improving patient flow also enhances patient safety, the recent experience of the ED at Enumclaw (WA) Regional Hospital should dispel them.
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As reimbursement shrinks and health care providers tighten their belts, hospitals need to take a proactive approach to denials to make sure they get paid appropriately for the care they provide, experts say.
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By conducing real-time concurrent denials management, Jewish Hospital and St. Mary's Healthcare, a not-for-profit health care system in Louisville, KY, keeps its average denials rate below 1%, consistently exceeding the hospital's goal of a denials rate of under 2% for commercial patient days, including Medicare managed care patients.
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Recognizing that chronically ill patients benefit from care management beyond the walls of the hospital or their physician's office, Middlesex Hospital in Middletown, CT, has created The Center for Chronic Care Management, which offers four National Committee for Quality Assurance- (NCQA) accredited disease management programs to help patients manage their conditions.
