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If your case management department isn't involved in the business side of health care, you're missing opportunities to affect your hospital's bottom line and to ensure that your patients get the most effective, cost-efficient care.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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Faced with almost 50% of its patient population receiving Medicare benefits, Berkshire Medical Center in Pittsfield, MA, took a proactive approach to comply with the revised Medicare regulation requiring hospitals to give patients the Important Notice from Medicare, informing them of their right to appeal their discharge.
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At New York Hospital Queens, a series of multidisciplinary, hospitalwide initiatives helped the hospital cut its length of stay by almost a day, despite an increase in the number of patients.