-
No one likes change, and ED managers often face a tough challenge when introducing new processes to their staff.
-
If the experiences of the first hospitals targeted by the Zoned Program Integrity Contractors (ZPICs) are any indication, at some point this year, your hospital may receive a surprise visit from an investigator with a law enforcement background who will request medical records to be examined for possible waste, abuse, or fraud.
-
In just four months after the launch of an intensive compliance documentation management program (CDMP) Bon Secours St. Francis Health System's Medicare case mix index increased significantly.
-
Not long ago, the ED at Palisades Medical Center in North Bergen, NJ, was struggling with waiting times hovering at about four hours.
-
UCares care coordinators are the hub for communication among providers treating the Minneapolis health plans dual eligible members enrolled in one of two care plans depending on their age.
-
Individuals who are dually eligible for Medicare and Medicaid have complex medical and social service needs, and many also have behavioral health issues, making coordination of care a challenge.
-
A common refrain of ED administrators is that when it comes to patient flow, there is only so much they can do to eliminate wait times when the upper floors cannot quickly accommodate admissions from the ED.
-
Network Health is participating in a demonstration project that integrates Medicare and Medicaid benefits for individuals ages 21 to 64.
-
WellCare Health Plans case managers meet face to face with dual eligible members and conduct an assessment that looks at the individuals living environment and social support system, as well as medical and behavioral health issues.
-
Patients released from one hospital and readmitted to another within 30 days are more likely to die within the next month than those readmitted to the same hospital, according to a study from Canada.
