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The Joint Commission can start accrediting psychiatric hospitals, the Centers for Medicare & Medicaid Services announced in late February 2011.
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Increasing data show that variations in care have a negative impact on outcomes and costs some estimates are that almost a third of healthcare dollars are spent in a wasteful manner or go to overuse of the system.
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Most people have trouble planning the next week's dinners or their next vacation, let alone something that is two and a half years away.
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There are literally dozens of studies that enumerate some of the problems that plague patients as a result of imperfect transitions of care.
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On March 14, there was a big celebration at Mercy Memorial Hospital in Monroe, MI, attended by officials from the Michigan Hospital Association.
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Your current systems will need to be remediated if they will be used to check medical necessity for ICD-10 standards when they are implemented in October 2013, says Jeffrey Smith, RN, MBA, CPC, a New York City-based manager at Accenture Insight Driven Health, a management and technology consulting company.
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Because the prior authorization process occurs well in advance of a service, your Patient access staff will need to be prepared for ICD-10 well before the Oct. 1, 2013, implementation date, warns Rennae J. Glidden, RHIT, director of data services at HealthEast Care System Midway Campus in St. Paul, MN. Use these strategies:
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With payer requirements becoming more numerous, patient access departments face an ongoing battle to keep staff current.
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It's taken a collaborative effort between patient access and provider offices to navigate the challenges of prior authorization and payer requirements, while continuing to give patients an excellent experience, says Adrienne Pinelle, CHAA, manager of the preauthorization team for patient access services at University of Utah Health Care in Salt Lake City.
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Sick, upset, and distracted patients often gave inaccurate or incomplete information to registration staff in the ED at Bronson Methodist Hospital in Kalamazoo, MI, notes Tina Nadrasik, the department's Patient Access manager. This problem sometimes resulted in claims denials, she adds.
