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when you thought you were getting a handle on reducing readmissions for your Medicare population, the Agency for Healthcare Research and Quality (AHRQ) has another task for you: Look at your Medicaid readmissions, because you may find that those patients are bouncing back in at least the same quantity as your older patients.
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Observation status has been under the radar for a while, and with the two-midnight rule in full force, getting patients to the right place on a ward or discharged appropriately has taken on new urgency.
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It’s an intuitive truth that makes sense to just about anyone who hears it: If you are having a procedure done, you want to go to someone who has a lot of experience doing that procedure.
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Even if patient access employees follow all the necessary steps to obtain an authorization for a procedure, the payer might still want to talk to another person before granting the authorization: the patient’s physician.
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Most data breaches are fully preventable, and Beazley Breach Response (BBR) Services, an Atlanta company providing breach response insurance, offers these five ways to avoid them:
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Goals in patient access areas at Cincinnati (OH) Children’s Hospital Medical Center have three areas of focus: the patient’s and family’s satisfaction, finances, and compliance, says Michelle Gray, MHA, director of registration services.
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At Wheaton Franciscan Healthcare in Glendale, WI, patient access managers use productivity data, accuracy, and cash collection goals as key metrics to ensure they’re staffing patient access areas appropriately.
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At Emory Healthcare in Atlanta, patient access leaders developed training programs to allow front-line staff to have knowledge of all patient access areas.
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At Wheaton Franciscan Healthcare in Glendale, WI, pre-registration staff members are cross-trained in the main registration area, the emergency department, and front desk walk-in registration, says Kim Gehl, manager of patient access in central scheduling and central precertification.
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If goals are unrealistic, unclear, or outdated, patient access employees quickly will become unhappy, warns Craig Pergrem, senior director of revenue cycle, pre-service, and onsite access at Novant Health in Winston-Salem, NC.