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There is much to rejoice about in the final rule of the Emergency Medical Treatment and Active Labor Act, with many of the most vexing parts of the law either clarified or eliminated altogether, but there still is plenty to keep you busy.
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If you think your hospital doesnt have a problem with denials and you arent doing anything to track them, Christine Collins, CHAM, director of patient access for Bostons Brigham & Womens Hospital, strongly suggests that you just dont know one way or the other.
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The Commission for Case Manager Certification (CCMC) in Rolling Meadows, IL, is revising its Code of Professional Conduct for case managers and is seeking feedback on the draft revision from professionals in the case management field, including certified and noncertified individuals.
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Whether as employees of a covered health care entity or independent business associates, case managers must ensure that they are in compliance with the privacy requirements of the Health Insurance Portability and Accountability Act (HIPAA).
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If you want to improve your patient satisfaction ratings, dont start by looking at how happy your patients are. Start by looking at satisfaction levels among your staff.
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The National Cancer Act of 1971 set cancer rehabilitation as a goal and provided money to develop training programs and research projects. Soon after, the Bethesda, MD-based National Cancer Institute identified four objectives for rehabilitation of cancer patients: psychosocial support, optimization of physical functioning, vocational counseling, and optimization of social functioning.
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Case managers shouldnt wait for their hospitals to institute cultural competency initiatives. They should try to become more aware of their patients culture and beliefs on their own and make it a continuing process, asserts Joyce E. Vaughn, RN, CCM, a Louisville, KY-based case management consultant and former hospital case manager.
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"How can we be sure were getting all the discounts and credits that were entitled to on our liability insurance? Do I have to go looking for them or can I trust the insurer to offer everything that applies?" Also, "Were in the process of reorganizing some departments and upper management wants me to take on the responsibility of handling media inquiries. Is this a proper role for the risk manager?"
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In a case watched closely as a harbinger of what can happen when a health care provider undertreats pain, two doctors and two health care facilities reached settlements just before the case was scheduled for trial. The results of the case should get the attention of any risk manager who doubts that poor pain management is a major liability risk.
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These highlights of the final EMTALA rule were summarized by the Centers for Medicare & Medicaid Services.