-
On Dec. 17, the American Hospital Association (AHA) announced it would provide guidelines for hospitals on billing and collection practices to ensure that poor patients and patients who lack health insurance are treated in a fair-and-balanced manner.
-
-
The regional offices of Blue Cross Blue Shield of Arkansas each have their own identity but they follow consistent policies and procedures based on URAC standards for the companys case management program.
-
A case management program dedicated to infants in the neonatal intensive care unit (NICU) has saved Blue Shield of California an average of four days length of stay off each NICU admission, saving the health plan about $3,500 a day.
-
On July 5, 2002, Baby A was born at a term gestation of 38 week by emergency cesarean due to prolonged decelerations. The infant had Apgar scores of 0/0/0 at 1/5/10 minutes, respectively, and a poor score of 4, 20 minutes after birth.
-
In 1999, Presbyterian Hospital of Dallas had a denial rate of 1.12% of gross revenue at year end. The denial rate began to decline steadily following the implementation of a denials management team and process improvement teams, both of which include members of the case management staff. The process has saved millions of dollars. For fiscal year 2003, the denial rate has dropped to 0.2% of gross revenue.
-
When it comes to improving quality, sometimes the simplest and least expensive measures work best, reports Earl Kurashige, RN, project manager for Qualis Health, a nonprofit health care quality improvement organization based in Seattle.
-
Descriptions of the following positons: Payer specialists, Placement specialist, Denials management specialist, Staff assistants and Department secretary.
-
In this first part of a two-part series on benchmarking, we tell about two hospitals that achieved dramatic reductions in length of stay (LOS). Next month, we discuss how to speed up admissions by addressing virtual capacity issues with the entire hospital.
-
Are admitted patients being held for a long time in the emergency department while they wait for an inpatient bed to become available? Do patients in specialty care units stay longer than necessary because there is no general unit bed for them to be transferred to?