Hospital Management
RSSArticles
-
Patients Threatened by Gaps in Care When They Change Settings
Patient safety and quality of care are threatened when patients move from one setting to another, but there are strategies that can address those gaps in care.
-
Revenue Cycle Team Optimizes Reimbursement
If a hospital doesn’t have a revenue cycle management committee, case managers can approach leadership and suggest that they propose that the hospital administration create a committee to review all contracts and denials.
-
Large Caseloads Make Denial Prevention Difficult
Hospitals that pile task after task on case managers and assign them large caseloads are unlikely to effectively manage denials.
-
Be Knowledgeable About Hospital’s Payer Contracts
To prevent denials, case managers must know the requirements of each individual payer. But at some hospitals, the finance and/or managed care departments don’t provide case management with the utilization review section of the contract where the rules are outlined.
-
How to Avoid Four Types of Denials
Case managers must take a proactive approach to reducing the denial rate — and the best way to do it is to prevent the denial.
-
Types of Case Manager Reviews
This chart shows the types of payer reviews case managers typically perform.
-
When Managing Denials, the Best Defense Is a Good Offense
Denials represent a significant amount of lost revenue. Case managers should take an active role in preventing and managing denials.
-
Checklists and Decision Trees
It’s the planning time of year for your facility. At our facility, we’re engaged in the following projects for 2018. These individual projects are diverse and they’re across the country.
-
Quick Steps to Increase Surgery Center Efficiency
Surgery centers seeking answers to improving efficiency could tackle staff cross-training and a communication improvement initiative. Any improvement in these areas can create a better team environment and improve productivity.
-
Supreme Court Case, Joint Employer Issues Important in 2018
Several main employment issues, highlighted in recent legal actions, will affect ASCs and other employers in 2018. One of these hot topics is subject to a U.S. Supreme Court decision, which is expected to settle a major issue over arbitration agreements.