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Obtaining accurate, detailed information about a patient's insurance coverage is the goal of any registrar, regardless of the patient's point of entry. Clearly, though, emergency department (ED) patients pose some unique challenges.
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As payer requirements become more numerous and stringent, any type of error can result in a needless claims denial.
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The mission of eight onsite Medicaid case managers at WakeMed Health & Hospitals in Raleigh, NC, is to "focus only on patients who have been patients at WakeMed," says Heidi McAfee, director of patient access/case management.
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WakeMed Health & Hospitals in Raleigh, NC, has a long history of caring for all who seek service regardless of the ability to pay, and is currently facing a marked increase in uninsured patients.
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If they were better informed on the outcomes of premature infants, physicians might be more inclined to intervene more often, according to Annie Janvier, MD, PhD, FRCPC, a neonatologist and clinical ethicist practicing at St. Justine Hospital in Quebec and associate professor of pediatrics at the University of Montreal.
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A bill recently signed into law in New York state will require a patient's health care provider to provide information and counseling to that patient on palliative care, prognosis, and end-of-life options, once the patient is diagnosed with a terminal illness.
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Rabbi Barry M. Kinzbrunner, MD, suggests that in addressing spiritual care for their patients at the end of life, physicians often face the challenge of how to mesh the spiritual concerns with objective science a challenge that sometimes results in a "significant disconnect" with patients.
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A study published in mid-August in the New England Journal of Medicine found that in patients with metastatic non-small-cell lung cancer, "early palliative care led to significant improvements in both quality of life and mood," according to the abstract.
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Jeanne S. Twohig, MPA, senior advisor, Duke Institute on Care at the End of Life, unabashedly asserted that there is a crisis in our country as to the quality of the vision for our health care futures.
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It's not unusual for soldiers who have returned from war never to discuss the war with their families or friends, creating an aura of mystery or a sense that their loved ones somehow cannot fully understand them now that they have returned to civilian life.
