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  • Those 'sharing' coverage might qualify for help

    Occasionally, individuals pose as others to "share" insurance coverage with family members or friends, reports Jane Gray, CPA, FACHE, FHFMA, assistant vice president for the revenue cycle at the Medical Center of Central Georgia in Macon. In one such case, the medical records of a woman who delivered a full-term baby showed she had a full term delivery just three months earlier.
  • Patients may abuse financial assistance

    At Medical College of Central Georgia in Macon, the Care Partners Program offers financial assistance for chronically ill patients in order to reduce unnecessary hospitalizations, says Jane Gray, CPA, FACHE, FHFMA, assistant vice president for the revenue cycle.
  • An ED patient can't pay? Don't leave them hanging

    At Catholic Health Initiatives in Lincoln, NE, the patient access department is forming a workgroup to do a better job of helping patients with financial counseling at the time of their emergency department (ED) visit, says Lauree M. Miller, director of patient access.
  • With ED POS collection, clinical areas are the key

    If you want to increase point of service collections in the emergency department (ED), communication with clinical staff is the key, says Lauree M. Miller, director of patient access at Catholic Health Initiatives in Lincoln, NE.
  • Large out-of-pocket? Offer patients options

    At Fairview Northland Health Services in Princeton, MN, when patients learn they will have a large out-of-pocket responsibility, patient access staff work with them to explain their payment options, says Steph Collins, manager of patient access.
  • Million-dollar-plus fines signify tougher enforcement of HIPAA

    Fines of $4.3 million for Maryland-based Cignet Health and $1 million for Massachusetts General Hospital in Boston should give hospital staff reason to take notice of the stricter enforcement and higher fines included in the Health Information Technology for Economic and Clinical Health (HITECH) Act.
  • HIPAA Regulatory Alert: 'Badge buddy' provides HIPAA info

    Even before headlines highlighted large fines for HIPAA violations, the compliance department at New York University (NYU) Langone Medical Center in New York City decided to be proactive to meet the enhanced requirements of the Health Information Technology for Economic and Clinical Health (HITECH) Act.
  • HIPAA Regulatory Alert: Beware of breach sources: Laptops and flash drives

    Fifty percent of data breaches are related to theft of portable or easily moved devices such as laptops, flash drives, and desktop computers, according to the most recent report from the Health Information Trust Alliance, a national consortium of healthcare professionals that focuses on healthcare data security.
  • HIPAA Regulatory Alert: Meaningful use FAQs added by Medicare

    Eleven new questions and updated answers to other questions about the Meaningful Use Incentive Program can be found on the Centers for Medicare and Medicaid Services (CMS) web site.
  • Healthcare reform could impact patient IDs

    It's not possible to gauge the full impact that the Patient Protection and Affordable Care Act (PPACA) will have on patient identification processes, says Robin Ten Eyck, CHAM, director of patient access at Sound Shore Health System in New Rochelle, NY.