Responding to allegations of physician misbehavior is a challenge. A recent court case holds lessons for what can go wrong when a hospital does not follow best practices or even its own internal policies.
A worthy change, but leaders must be prepared for a cascade of unintended consequences, including possible staff burnout, turnover
February 4, 2020
Any data system can affect a wide range of hospital operations, interacting with and possibly hindering the operation of other systems, as well as clinical and business operations. Those far-reaching effects can be underestimated, giving hospital leaders a false sense of the scope of the project they are undertaking. Successful implementation begins with hospital leaders identifying an accurate perspective on the work ahead.
Getting physicians to critique their colleagues has always been a challenge, but in recent years challenged physicians have increasingly used expensive litigation and claims of antitrust violations to defend themselves. That has made some physicians even more reluctant to participate in peer review, but there are solutions.
Errors or typos made by registrars during the collection of information or during the data entry process are “extremely prevalent” in claims denials, according to Brinn Leach-Wilson, a Merritt Island, FL-based consultant with BHM Healthcare Solutions.
CMS has announced a proposed revision of the discharge planning requirements for acute care hospitals, long-term care hospitals, inpatient rehabilitation facilities, critical access hospitals, and home health agencies.