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Outpatient Surgery

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  • NQF, TJC honor Kaiser implant project

    Choosing a pacemaker has its parallels to buying a car: There are different makes and models. You want one thats safe and reliable and doesnt break the bank. And every manufacturer says its version is the best.
  • Putting pain on the front burner

    A recent survey of peer review studies related to palliative care by the Agency for Healthcare Research and Quality (AHRQ) found that only five of more than 90 studies targeted multiple outcomes measures and relayed data to providers.
  • You should closely watch revenue cycle metrics

    To determine if patient access processes for financial counseling are getting good results, Jen Nichols, senior director of revenue cycle operations at Kaleida Health in Buffalo, NY, keeps a close eye on these metrics.
  • Many patients misled on coverage, but patient access staff can help

    Patient access employees probably believe that insurance companies have an obligation to fully inform consumers about the coverage they're getting. Unfortunately, this belief doesn't always translate into reality.
  • NAHAM joins social media sites

    Taking on the latest form of social media, the National Association of Healthcare Access Management (NAHAM) has announced the arrival of Twitter and YouTube to its media landscape.
  • Finances are a top priority for access

    Unfortunately, healthcare costs are often the first thing that comes to mind when someone gets sick, says Elizabeth H. Broadway, CHAM, director of patient access and business services at Ochsner Health Systems Baton Rouge (LA) Region.
  • More evidence of Medicaid 'churn'

    Patient access employees often help patients determine eligibility for Medicaid coverage, which in many cases means lost revenue is prevented. However, patients don't always keep the coverage they obtain, even if they remain eligible.
  • Stop 'no auths' due to changed procedures

    When hospital VIPs at Lourdes Health System in Camden, NJ, expressed concern over the fact there were so many claims denials for no authorization, Joan Braveman, corporate director of patient access, asked for data. She began studying the "no auth" denials.
  • Staff must be prepared before collecting copays

    Reduced collection cost and better patient satisfaction were the two major benefits of collecting copays at the time of service that were identified by patient access leaders at Cooper University Health System in Camden, NJ.
  • Guidelines updated for discharge planning

    Continuing to emphasize the importance of discharge planning and preventing unnecessary readmissions, the Centers for Medicare & Medicaid Services (CMS) has issued a revised set of Discharge Planning Interpretive Guidelines that surveyors will use to assess a hospital's compliance with Medicare's Conditions of Participation.