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Hospital Access Management

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  • HIPAA Regulatory Alert: Working Group concerned about claims rejections

    The HIPAA Implementation Working Group, a coalition formed to help providers and vendors better understand the process by which the HIPAA electronic standards are developed and modified and to increase provider and vendor representation in that process, has contacted Centers for Medicare & Medicaid Services (CMS) administrator Mark McClellan to express concern over a CMS instruction to fiscal intermediaries to reject claims lacking certain data elements not needed by Medicare for claims adjudication.
  • News brief: 82 million Americans uninsured in 2002-2003

    Nearly 82 million Americans younger than 65 went without health insurance for all or part of 2002 and 2003, according to a report released recently by Families USA.
  • ED volunteers help with patient communication

    The third stage of an ambitious campaign aimed at streamlining emergency department operations gets under way this month as Baptist Memorial Health Care in Memphis, TN, begins recruiting members for a new ED volunteer corps. Whats unusual about this hospital volunteer initiative is that it is targeted to young people who may be considering jobs in the health care field.
  • Customer service exercises add spice to staff meetings

    When the patient access department at the University of Pennsylvania Medical Center-Presbyterian in Philadelphia has its monthly staff meeting these days, theres an added attraction. After the insurance updates, schedule changes, and other pertinent matters are handled, attendees are asked to participate in an interactive customer service initiative.
  • Lawsuits unwarranted, says hospital industry

    About 18 not-for-profit hospitals in 15 states have been hit with class-action lawsuits filed in federal courts challenging their tax-exempt status as charity institutions.
  • OTC collections boosted with ‘enthusiasm of sports’

    When Peggy ONeill, admitting director for St. Helena Hospital in Deer Park, CA, began tackling the improvements involved in a major restructuring of the admitting department, she looked first at the bottom line.
  • Boost reimbursement with reorganization, teamwork

    Creating the most efficient staffing arrangement possible along with fostering effective working relationships with those outside the access department was integral to the development of a financially successful patient access department, says Patti Daniel, MS, CCM, LPC, LMSW/AP.
  • Hospital streamlines ED patient flow with commitment, creative thinking

    A dramatic overhaul of the emergency department (ED) process at Paradise Valley Hospital in National City, CA, began with a single question from the director of emergency medicine.
  • News Briefs

    CMS makes change to critical access rule; NPI final rule released by CMS; Study: Providers getting better terms
  • A stepwise approach to outsourcing revenue cycle

    Health care organizations are discovering, as many industries have already learned, that thriving even surviving in a competitive marketplace means concentrating their talent and experience on what they do best, and offloading noncore services and administrative functions to vendors who can do them better, faster, and cheaper.