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Faced with capacity challenges, the case management department at Harris Methodist Hospital in Ft. Worth, TX, is collaborating with representatives from local long-term acute care hospitals (LTACs) to develop ways to improve transitions of care from one facility to another.
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A series of initiatives, including automatic triggers for quality measures in the hospital's electronic medical record and concurrent review by case managers for core measures, has resulted in significant increases in quality measure scores at Russellville (AL) Hospital, a 100-bed facility.
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Proposed state laws in Nevada in the wake of a highly publicized hepatitis C outbreak in Las Vegas include proposals to hire infection preventionists (IPs) as consultants to oversee practice in freestanding clinics.
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MLN Matters, published by the U.S. Department of Health and Human Services (HHS), provides clarification about the Privacy Rule of HIPAA, when transferring private health information to potential post-acute providers:
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For professionals working in health care, it is easy to quickly become accustomed to the various presentations and stressors that accompany a patient who requires hospitalization. In fact, our efficient functioning is dependent on this to some degree.
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When the Centers for Medicare & Medicaid Services (CMS) unveiled the new MS-DRG reimbursement system in 2007, a data analysis projected that Sharp Chula Vista Medical Center was likely to lose about $500,000 with the new system, based on the hospital's 2006 data.
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Some time in the next 18 months or so, four different sets of auditors could be scrutinizing the medical records at your hospital. It's all part of the Centers for Medicare & Medicaid Services' (CMS) Medicare Integrity Program initiative, mandated by the Deficit Reduction Act of 2005, which seeks to eliminate fraud, waste, and abuse in Medicare claims.
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Automobile and accidental injury regulations, the Medicare as Secondary Payer questionnaire, and workers' compensation guidelines are just a few of the many issues with which the patient access professional and case manager must be educated and competent.
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At DCH Health System, the clinical documentation improvement team takes a proactive approach to changes in the Centers for Medicare & Medicaid Services (CMS) documentation requirements.
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When patients of community-based physicians are ready for discharge from Chesapeake (VA) Regional Medical Center, they no longer have to wait for their physicians to come to the hospital and write discharge orders.