Hospital Management
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Stop Denied Claims for Patients Discharged With Complex Needs
Some hospitalized patients have complex discharge needs. While many of these needs are clinical, patient access can help with coverage issues.
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The Virtues of Real-time Registrar Observation
Patient access leaders can learn a lot from annual evaluations or soliciting feedback at staff meetings. But, sometimes, they learn even more from observing an employee during a shift.
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Auth Already in Place as Payer Requires? Claim Still Might Be Denied
Patient access diligently obtains a required authorization from the payer and the service is scheduled. Weeks later, the claim is denied. However, it is not for “no auth,” but because the payer says it was not medically necessary.
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Is Patient’s Complaint Exaggerated? Recordings Tell the Real Story
Are patient access staff explaining consent forms accurately to patients? Are they interpreting and explaining insurance benefits correctly? Face-to-face recordings of registrations let patient access leaders at one facility know these things for certain.
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Quality Assurance Dashboard Spotlights Issues
Manual processes are no longer enough to conduct the kind of quality assurance patient access leaders need.
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Patients Want Self-service Estimates and Exact Dollar Amounts
Price transparency and price estimates have been two critical focus areas for one hospital's financial services team for more than two decades.
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Big Expectations for ‘Transparent’ Costs: Can Patient Access Meet Them?
Calls for healthcare transparency are growing louder. Smart patient access departments are heeding those calls. Several states have passed laws requiring that hospitals provide price quotes on request. Generic information isn’t enough; it must be personalized according to the patient’s insurance.
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AOHP, NIOSH Update Respirator Resources
The Association of Occupational Health Professionals in Healthcare has updated its Web Resources Guide, which includes links to all manner of regulations, guidelines, and training materials by federal agencies and healthcare organizations.
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Texas-sized Mumps Outbreak Includes Nine HCWs
The outbreak was very disruptive as healthcare workers with no proof of immunity had to be furloughed, and one occupational case was acquired by a phlebotomist.
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Make Protective Eyewear More Accessible
Which healthcare worker body site is most frequently exposed to blood and body fluids, according to national surveillance data? The eyes have it.