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Hard hit by one of the worst recessions in nearly a century, hundreds of thousands of Californians lost insurance coverage across the state as employers shed jobs and the health plans that came with those jobs, according to a report from the University of California, Los Angeles (UCLA) Center for Health Policy Research.
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When an interdisciplinary team including patient access, insurance verification, and radiology personnel was formed to reduce claims denials, "realizing where denials are coming from was definitely our first step," reports Brian A. Todd, CHAM, manager of patient access staff development and training at Lourdes Health System in Camden, NJ.
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A proactive approach to engage at-risk members before they have an adverse medical event is paying off for CareFirst BlueCross and Blue Shield, a Baltimore-based health plan.
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A study conducted at Good Samaritan Hospital in Dayton, OH, has determined that denial rates are lower when case managers collaborate with physicians to determine patients' admission status.
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I previously shared some thoughts on communication styles and keeping a log of questions along with your answers that come through your Infection Prevention & Control (IP&C) Program.
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State health departments are becoming vital partners with the Centers for Disease Control and Prevention in an increasing national effort to eradicate healthcare associated infections (HAIs).
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To examine the association between being placed in contact isolation and delirium, Day and colleagues at the University of Maryland Medical Center reviewed administrative data on all patients admitted during a 2-year period ending in 2009.
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After considerable controversy that included strong objections by the nation's leading occupational health agency, a federal vaccine committee has approved a recommendation that health care facilities strongly consider mandatory flu immunization of workers if voluntary efforts fail to achieve high vaccination rates.
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The medical community appears to be deeply divided over a federal recommendation that would push the health system toward mandatory flu shot policies for health care workers.