Hospital Management
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Four hours a day is too much time on the phone with payers — Hold times last up to 45 minutes
Financial counselors at Stonybrook University Medical Center spend about four hours a day on the phone with insurance companies verifying inpatient benefits and obtaining authorizations.
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Emails are too slow — Here are new ways to communicate with patient access staff
Is an irate patient demanding to speak with a supervisor? Does a registrar need to leave immediately because of a family emergency?
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Novel ways you can network
Put your best foot forward with these tips
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Foolproof ways to move up quickly in access
Suggestions from experts
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Different CPT done than was authorized? Payers refuse to pay the claim
Some claims denials stem from incorrect CPT codes given by providers.
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More payers asking for peer-to-peers
Patient access needs excellent processes to respond to payer requirements for peer-to-peer review of the patient’s medical records, says Ketan Patel, a senior manager in the healthcare provider segment of strategy and operations for New York City-based Deloitte Consulting
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Payers Want Detailed Clinical Info for Authorizations
You need to know why a procedure is necessary ... right?
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Patient satisfaction surveys seriously flawed, report says
The patient satisfaction surveys used by CMS to assess hospitals are not valid, according to a new report by the Hastings Center, the nonpartisan research center on bioethics.
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Primary care doctors troubled by hospital quality metrics
Half of the nation’s primary care physicians view the increased use of quality-of-care metrics and financial penalties for unnecessary hospitalizations as potentially troubling for patient care, according to a new survey from The Commonwealth Fund and the Kaiser Family Foundation.
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Quality data may be skewed by other hospital readmissions
Readmission rates may not be an accurate measure of hospital quality if the analysis does not factor in the readmissions from other hospitals, researchers suggest in a new study.