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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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For many years, patient access was "the red-headed stepchild of the revenue cycle, straddling the fence between patient care and financials," says James Hicks, CHAA, CHAM, CAM, patient access manager at Southeastern Regional Medical Center in Lumberton, NC.
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New associates starting right out of school or from some other service industry bring limited or no knowledge of the health care industry to the table. They may or may not have well-developed computer skills. As for medical terminology, it's likely to be a foreign language to them.
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An enterprise-wide master patient index is used at Methodist Le Bonheur Healthcare, a system of six hospitals, several off-campus diagnostic and treatment centers, free-standing surgical centers, and urgent care centers.
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If you're not collecting accurate, complete information in a "patient-centric" way, you're not maximizing either cash collection or patient satisfaction.
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A man with chest pain tells you that he uses cocaine and is positive for human immunodeficiency virus (HIV), then asks you to not tell his girlfriend who is about to enter the room. What are you most likely to be sued for: if you disclose the patient's status, or if you don't tell and his partner gets infected?
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In August of this year, the Centers for Medicare & Medicaid Services (CMS) published final rules revising the Medicare hospital inpatient prospective payment system (IPPS). These regulations also contain policy changes related to a hospital's obligations under the Emergency Medical Treatment and Labor Act of 1986 (EMTALA).
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This is a two-part series on liability risks regarding antibiotic choice in the emergency department. This month, we report on liability risks involving methicillin-resistant Staphylococcus aureus.
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In an age of high patient volumes, overcrowding, and prolonged patient stays in emergency departments (EDs), the clinician is challenged to be both efficient and effective on a daily basis.
