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Millions of Americans live with chronic conditions: diabetes, hypertension, arthritis, pain, and myriad other illnesses and injuries. When chronic conditions worsen or unrelated acute episodes occur, hospitalization may become necessary.
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Pregnant women who come to the ED with abdominal pain often are misdiagnosed and undergo unnecessary appendectomies, says a new study.
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Three years ago, the management team at Orlando Regional Healthcare System took a hard look at managed care denials, recalls Craig Pergrem, CHAM, MBA, corporate director of patient business, and asked, "What can we do to stop the bleeding?"
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By reviewing the discharge dispositions of patients whose hospital stay was covered by the Medicare post-acute transfer rule, Jupiter (FL) Medical Center in Florida was able to generate an additional $108,000 in reimbursement in just one year.
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Faced with an audit that eventually revealed millions of dollars in Medicare overpayments for short-stay patients placed in the wrong admission status, Saint Joseph's Hospital in Atlanta began a series of proactive steps to correct the problem, educate staff, and assure that InterQual criteria are applied correctly.
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If your case management department isn't involved in the business side of health care, you're missing opportunities to affect your hospital's bottom line and to ensure that your patients get the most effective, cost-efficient care.
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Warning: Working the night shift may cause cancer.
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As nurses age, keeping them safe as they lift and transfer patients becomes a greater challenge. Munson Medical Center in Traverse City, MI, has responded to that by creating a Seasoned Nurse Initiative.
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Being a nurse is all that Rebecca Rhoads, RN, BSN, CLNC, ever wanted to be. She loved working at the bedside. And that is where she'd be today — if she hadn't suffered a debilitating back injury.
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Just saying "no" to the flu shot isn't so simple anymore. Thanks to new state mandates and employer requirements, health care workers who don't want the vaccine are increasingly asked to acknowledge the risks for patients, themselves, and their family members.