The Joint Commission (TJC)
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When staffing, don’t forget `other’ work
Staffing models dont always factor in additional tasks performed by patient access, warns Stacy Calvaruso, CHAM, assistant vice president of patient access services at Ochsner Health System in New Orleans. -
Patient access leaders can use these strategies for Medicare as Secondary Payer (MSP) training
Incorrectly labeling Medicare as the primary insurance, or missing payers that are primary to Medicare, often costs facilities greater reimbursement and puts hospitals at risk for audits/fines. -
Work with clinical areas to obtain authorizations — Ask them to involve access from the beginning
Clear and open lines of communication between the clinical team and patient access is the single best way to prevent claims denials due to no authorization, according to Aaron Robison, CHAA, a patient financial advocate at University of Utah Health Care in Salt Lake City. However, this step remains a significant challenge for the department. -
Stop `no auth’ denials with new processes - Access is struggling with new payer requirements
Payers are requiring authorizations for many additional procedures, which results in increased claims denials and dissatisfied patients. -
Technology update: Here’s a roundup of newest tools
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Joint Commission task force makes progress
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Glutaraldehyde: Occupational Hazards in Hospitals
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NIOSH issues information brochure on glutaraldehyde
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These steps can make benchmarking work well
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Take these steps to keep your chargemaster updated