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It seems like one of the more straightforward standards: to make sure that you regularly collect and review quality data from providers. And yet, surveyors do find issues with organizations. So what makes for a good Ongoing Professional Practice Evaluation policy? And what are the common problems that Joint Commission surveyors are finding?
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When hospitals determine that the care patients are receiving or are about to receive will not be covered by Medicare because it is not medically necessary, not delivered in an appropriate setting, or is custodial in nature, the hospital should provide the patient with a Hospital-Issued Notice of Noncoverage (HINN) to inform them that they will be responsible for the bill if they choose to stay in the hospital.
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After a series of delays, the U. S. Department of Health and Human Services has set Oct. 1, 2014, as the firm date for implementation of the ICD-10 procedure and diagnostic coding set.
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Medicare requirements for issuing the Important Message from Medicare (IM) and the Hospital-Issued Notices of Noncoverage (HINNs) have been around so long that they sometimes get short shrift.
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If patient access employees give incorrect information on a patient's out-of-pocket responsibility, the result will be dissatisfaction, refunds, and lost revenue.
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When updating outdated job descriptions, patient access leaders are finding it helpful to get input from employees on their responsibilities and to prepare for questions about salary increases.