Hospital Management
RSSArticles
-
Readmissions More Common After Observation Stays
Patients often are readmitted to the hospital after an observation stay, according to recent research which suggests hospitals may want to target this population.
-
High-needs Patients Require Focus to Avoid Readmissions
Hospitals can make significant headway in reducing readmissions by addressing high- needs patients, according to a new National Academy of Medicine special publication, which notes that nearly half of the nation’s spending on healthcare is driven by just 5% of patients.
-
NCQA Includes Population Health Management in Accreditation
The National Committee for Quality Assurance (NCQA) is including population health management (PHM) as a new category in its 2018 Health Plan Accreditation (HPA) standards and guidelines. The PHM category is a shift from evaluation of single-disease state toward a whole-person focus, NCQA says.
-
Social Determinants Affect Quality of Care, Outcomes
A Massachusetts accountable care organization is using social determinants of health to shift how Medicaid care is delivered and dollars are spent — an initiative to take Medicaid payments into the hands of the providers themselves.
-
Are Registrars Going ‘Rogue’? Effective Ways to Prevent Collection Complaints
A growing emphasis on upfront collections occasionally results in dissatisfied patients. Patient access leaders can take steps to mitigate collection-related complaints.
-
AI Could Help Improve Care, Patient Satisfaction
Artificial intelligence is entering the field of medicine and may soon help improve quality of care and the patient experience, one expert says.
-
Patient Experience, Not Just Satisfaction Scores, Tied to Quality
Men and women may have different ideas of what constitutes excellent care, according to a recent report from at the 2017 Annual Meeting of the American Academy of Orthopaedic Surgeons. Both want good clinical outcomes, of course, but when it comes to rating their experience with the hospital, the study suggests men want optimal pain management while women want good communication with the staff.
-
Educate Registrars and Patients on New Medicare ID Cards
Patient access departments need revamped processes to prepare for new Medicare ID cards without Social Security numbers.
-
Auth Doesn’t Match Service? Expect Claim Denial
Claims denials often occur as a result of “mismatches” between what was ordered or scheduled, and what actually was done. This article discusses how to ensure payment.
-
Are Payers Meeting Their Own Requirements for Auths? Find Out What Contractual Language Says
Patient access departments are using contractual language to overturn unfairly denied claims.