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Many patients are accustomed to receiving text messages from friends, retailers, and workplaces, and they probably expect to be able to receive texts from you.
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Because the findings were unclear on an abdominal and pelvic sonogram performed for a patient at Cook Children's Medical Center in Fort Worth, TX, the radiologist performed a CT scan of the abdomen and pelvis with contrast, but this additional test hadn't been authorized by the payer.
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Not long ago, a registrar would assume a patient was providing accurate information, only to find out the claim was denied due to incorrect insurance, reports Michelle M. Mohrbach, CHAM, manager of patient access and central scheduling at Blanchard Valley Health System in Findlay, OH.
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A patient wasn't happy with the answer she received after asking registrars at Botsford Hospital in Farmington Hills, MI, the cost of a high-dollar procedure, and she insisted that she could get it performed for half of the price quoted.
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Will my insurance cover this visit?" is something patients often ask registrars in the emergency department at Sutter Delta Medical Center in Antioch, CA. However, the answer isn't as simple as it seems.
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Retained objects are a constant worry in any invasive procedure, but the risk has gone overlooked in obstetrics. A project from the Minnesota Health Association (MHA) is changing that situation and has practically eliminated the problem statewide.
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The Office of the Inspector General (OIG) recently released its Work Plan for the fiscal year 2013, giving risk managers a heads-up about what topics will be of most interest to regulators over the next year. Some are perennial favorites, such as fraud and abuse, but there are many new areas of focus for 2013.
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Sen. Chuck Grassley (R-Iowa) is asking three North Carolina hospitals to explain their use of a federal discount drug program after news reports described how the hospitals charge their patients a big mark-up on certain drugs, such as cancer-fighting drugs.
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The healthcare industrys transition to accountable care will require significant cultural and operational shifts, bringing new risks that many organizations have yet to fully identify and manage, according to a new white paper from Marsh, the insurance broker and risk management consulting practice based in New York City.
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No matter the precise structure of the accountable care organization (ACO) or network that they are joining or forming, it will be critical for hospital risk managers to carefully manage the risks associated with the transition to ACOs.
