Articles Tagged With: admission
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Should an ED Patient Be Observed or Admitted? Decision Is Complex
If an ED patient is placed in observation status instead of admitted, it frees up an inpatient bed for another ED patient.
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Is Diagnosis Uncertain in the ED? Clear Communication Is Needed
Patients likely expect to leave the emergency department with a definite understanding of what is wrong. Yet many patients are discharged or admitted with an uncertain diagnosis.
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Obstacles to ED Admission Cause Legal Problems
When faced with this tricky situation, emergency physicians should carefully document discussions and remember they are responsible for clearly communicating about the patient’s condition, test results, and indication for admission.
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EDs See More High-Risk Patients with Ventricular Assist Devices
To reduce risks for patients with ventricular assist devices, providers should learn how they work, what complications need to be evaluated, and how to do so. Ensure systems are put in place for providers to care for these patients in an expeditious and effective way.
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Case Managers Help Resolve Inpatient Claims Issues
Admission notification denials are no longer happening at Moffitt Cancer Center in Tampa, FL, thanks to collaboration between patient access and case managers.
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Revamped Processes Prevent Admission Notification Denials
Some patients clearly meet the medical criteria for a hospital admission. Despite this, the health plan refuses to pay the claim — because staff did not notify the health plan soon enough.
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Few Hospitals Violating ‘Good Faith’ EMTALA Requirements for Admitted Patients
An ED patient is admitted, but then is transferred almost immediately. This kind of situation can call into question whether the admission was “good faith” or if the hospital was just trying to work around federal EMTALA requirements.
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Tips for Fostering Effective Relationships Across the Long-Term Care Continuum
Case management is a relationship-based profession that benefits health systems, patients, colleagues, and case managers. Establishing strong relationships with representatives from the long-term care continuum, including skilled nursing facilities, rehabilitation centers, memory care units, and assisted living and independent living communities, is important for case managers.
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Acute, Hospital-Level Care in the Home: A Glimpse of the Future
Emergency providers can provide hospital-level acute care to patients at home under Advanced Care at Home, a new program from the Mayo Clinic that leverages technology and in-person services. The approach has been introduced in Jacksonville, FL, and Eau Claire, WI.
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Observation Status Is Issue in Claims Denials
Patient access should be documenting the true severity of a patient’s illness on day two or three of hospitalization. By that time, there is an actual diagnosis to support the need for admission.