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    Home » Newsletters » Hospital Case Management

    Hospital Case Management

    www.reliasmedia.com

    February 1, 2008

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    Hospital Case Management 2008-02-01

    OPPS final rule expands observation services, requires quality reporting

    The Centers for Medicare & Medicaid Services (CMS) has announced sweeping changes to the Outpatient Prospective Payment System (OPPS) that may significantly affect your hospital's revenue. Read More

    Outpatient payments to be linked to quality reporting

    In its final rule for the Outpatient Prospective Payment System for calendar year 2008, the Centers for Medicare & Medicaid Services (CMS) took the first steps linking payment for outpatient services to the quality of care received by expanding the Hospital Outpatient Quality Data Reporting Program and requiring hospitals to report on outpatient quality measures for the first time. Read More

    UPMC denial management program saves $1 million

    A multilevel denials management process generates $1 million or more in recovered revenue annually for inpatient accounts at the University of Pittsburgh Medical Center (UPMC), a larger health system with 20 medical facilities. Read More

    Critical Path Network: Six Sigma projects add efficiency to discharge process

    Six Sigma projects at Sharp HealthCare hospitals have dramatically shortened the time that elapses between the time that discharge orders are written and the time the patient leaves the acute care setting. Read More

    Critical Path Network: Program increases patient, family involvement

    Increased patient involvement in their own care is encouraged by The Joint Commission and other organizations as one of the keys to improving patient safety. In fact, "encouraging patients' active involvement in their own care" is one of the National Patient Safety Goals. Read More

    Medicare compliance team reduces denials

    Having a team of case managers dedicated to Medicare compliance reduced the number of admission denials from 221 in 2006 to just two by late December 2007 at The Valley Hospital in Ridgewood, NJ. Read More

    Ambulatory Care Quarterly: More patient-friendly bills ongoing industry goal

    Making patient bills more user-friendly — not to mention ensuring that they are actually accurate — continues to be a focus in the health care industry. Read More
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    Hospital Case Management

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    Hospital Case Management 2008-02-01
    February 1, 2008

    Table Of Contents

    OPPS final rule expands observation services, requires quality reporting

    Outpatient payments to be linked to quality reporting

    UPMC denial management program saves $1 million

    Critical Path Network: Six Sigma projects add efficiency to discharge process

    Critical Path Network: Program increases patient, family involvement

    Medicare compliance team reduces denials

    Ambulatory Care Quarterly: More patient-friendly bills ongoing industry goal

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