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Health Plans Want Proof It Was Necessary to Admit Patient
Work with utilization managers to understand why these denials are happening. Ensure clinical documentation is detailed enough to support inpatient level of care, and be sure to submit such evidence to the health plan while patients still are in house.
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Revenue Cycle Staff Keeps ‘Financial Toxicity’ from Harming Patients
Patients often are left alone to navigate the complex healthcare system, which can cause problems. The most successful financial navigation programs direct healthcare providers and staff to work together to address patients’ needs from the time they enter the system to after discharge.
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Consumers May Be Unaware Price Information Is Available
Patients say they want price transparency, but many are completely unaware of what information is out there, and have no idea how to find it, at least in one state.
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Instant Gratification with Self-Service Price Estimators? Not So Fast, Says Patient Access
Beware the pitfalls of do-it-yourself healthcare pricing research.
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Price Transparency Now a Reality; Not All Hospitals Fully on Board
Some hospitals were holding off, hoping courts would overturn the requirements. Other facilities still are contending with operational challenges caused by COVID-19. Nevertheless, expectations have changed — and the consequences of noncompliance are real.
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HHS Releases Latest Iteration of Antibiotic Resistance Action Plan
The new plan includes details about stronger and more evidence-based activities that have reduced antibiotic resistance, such as optimizing the use of antibiotics in human and animal health settings, that public health officials can lean on to drive progress.
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AMA Prepares for COVID-19 Vaccine with Coding Updates
The American Medical Association recently revealed updates to the Current Procedural Terminology, helping the U.S. healthcare industry lay the administrative groundwork for an eventual COVID-19 vaccine.
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Unit Dose Cups Can Improve Patient Safety, Quality of Care
Unit dose cups sync well with barcode medication administration, which is known to improve safety. Unit-dosed liquids also lead to exact dosing. This precision eliminates much risk.
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Hospital Newborn Center Goes Seven Years Without a Single CLABSI
The rate of central line infections was too high, so leaders assessed policies and procedures, including a special look at specifics like the cleaning products used for central lines. Administrators also educated nurses on how to establish, maintain, and remove central lines, while physicians revised the criteria for what patients could receive them. Staff observe stringent protocols for handwashing and sanitization.
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Guide to Staff Rounding for Adopt-a-Room
This scripting protocol can help clinical and nonclinical staff solve problems and improve the patient experience by demonstrating that their concerns are a priority.