Hospital Management
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Payers Want Evidence That Patient Already Tried First-line Therapy
Increasingly, payers require patients to try and fail “first-line” treatments before payers approve more costly treatments. Include supporting articles from the literature supporting off-label use, and ask physicians to supply statements on why the first-line therapy is not appropriate.
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Nyack Financial Navigators Answer Frequently Asked Questions
Financial navigators at Nyack (NY) Hospital have committed to respond to questions from patients immediately, if possible, or within 24 hours.
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Was Coverage Lost Due to Illness? Patient Access Can Help
A financial navigation program for hematology and oncology patients ensures ongoing coverage, even if patients become unemployed due to their medical condition.
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Simple Fix if Legal Name Differs From the One Patient Gives to Registrar
Patient complaints and claims denials stemmed from discrepancies between their preferred and legal names at Ochsner Health System. To address this, a separate field was created for the patient’s preferred name, staff and clinicians know how patients want to be addressed, and the correct name goes on the claim without disturbing the integrity of the medical record.
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Striving for Perfect Registration Accuracy Sends Strong Message
At Greater Baltimore (MD) Medical Center, patient access leaders confidently report that their department operates at a “99% or better” accuracy rate.
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Action Plans Lead to Productivity Increase
Internal benchmarking data allow one patient access department to improve continuously, assisting staff in creating action plans with the greatest impact on outcomes.
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Patient Access Saves $3 Million Targeting Front-end Data Benchmarks
Patient access has always lacked benchmarking data and key performance indicators focused on the front end of the revenue cycle, but this is changing. Departments are using registration metrics to set productivity expectations, identifying how many full-time employees are needed in registration areas, and determining the hourly cost of a registration.
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AOHP Seeks to Raise Profile
The Association for Occupational Health Professionals in Healthcare is planning to raise its national profile and reassess its chapter organization and structure. These goals come as part of an update of the AOHP Strategic Plan, as the three-year run of the former plan expired in 2017.
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Rare But Real Threat of Occupational HIV Remains
It is accepted now with little fanfare how safer needle devices, post-exposure prophylaxis, and other improvements and interventions have reduced occupational HIV infection to a vanishing point. This wasn’t always the case.
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Researchers: Flu Spread by Normal Breathing
The unwelcome news in the midst of bad flu season is that influenza spreads easier than previously thought, possibly in the very breath you take.