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In just four months after the launch of an intensive compliance documentation management program (CDMP) Bon Secours St. Francis Health System's Medicare case mix index increased significantly.
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Every occupational health program requires resources, ranging from tens of thousands of dollars for a fitness center to a few hours spent on educating employees. How do you decide whether these are best invested in a diabetes lunch and learn, a weight loss competition, or otherwise?
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If the experiences of the first hospitals targeted by the Zoned Program Integrity Contractors (ZPICs) are any indication, at some point this year, your hospital may receive a surprise visit from an investigator with a law enforcement background who will request medical records to be examined for possible waste, abuse, or fraud.
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HIV clinicians often work with patients who have such an overwhelming number of barriers to optimal treatment adherence that it's difficult to know where an adherence intervention should begin.
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No one likes change, and ED managers often face a tough challenge when introducing new processes to their staff.
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Mission Hospital in Asheville, NC, has teamed up with seven employers in the community to provide face-to-face disease management for chronically ill employees.
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WellCare Health Plans case managers meet face to face with dual eligible members and conduct an assessment that looks at the individuals living environment and social support system, as well as medical and behavioral health issues.
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Network Health is participating in a demonstration project that integrates Medicare and Medicaid benefits for individuals ages 21 to 64.
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A common refrain of ED administrators is that when it comes to patient flow, there is only so much they can do to eliminate wait times when the upper floors cannot quickly accommodate admissions from the ED.
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Individuals who are dually eligible for Medicare and Medicaid have complex medical and social service needs, and many also have behavioral health issues, making coordination of care a challenge.