The Joint Commission (TJC)
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`Skinny’ network plans growing — Patients blindsided by changes
Patients are increasingly presenting with out-of-network coverage, due to more narrow networks in health plans. Patient access needs revamped processes to confirm eligibility, inform patients, and apply for patient-specific agreements. -
Guide helps hospitals engage patients, families in their care
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Send all the information you can to payers -- `Littlest thing’ can avoid denied claim
Sending the correct information to the insurance companies to show the medical need for services has become quite a task for patient access, says Aaron Robison, CHAA, a patient financial advocate at University of Utah Health Care in Salt Lake City. -
MSP mistakes can cost millions in revenue -- Staff must understand meaning of questions
Most errors involving Medicare as a Secondary Payer Questionnaire (MSPQ) can be attributed to two things, according to Kevin Willis, director of Medicare Services in the Harrison, OH, office of Claim Services, a document retrieval company. Willis is a former Medicare Secondary Payer auditor. -
Technology update: Here’s a roundup of newest tools
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Joint Commission task force makes progress
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Charge description master is everyone’s responsibility
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What’s needed for best practices? Clean data collection, benchmarking
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CRM called ‘ultimate’ in call center progression
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Take these steps to keep your chargemaster updated