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If you haven't started analyzing your hospital's readmission rates and the role case managers can play in reducing readmissions, it's time to start so your hospital can avoid penalties from the Centers for Medicare & Medicaid Services (CMS).
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As part of the ongoing education to prepare for Medicare's Recovery Audit Contractors (RAC) program, Cynthia Lawson, RN-BC, MBA, CPHQ, director of case management at North Hills (TX) Hospital is teaching her case management staff to think innovatively when reviewing charts.
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A combination of face-to-face and telephonic case management has resulted in high patient satisfaction ratings and a significant decrease in health care utilization for patients with complex medical needs.
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The state of the economy is impacting every industry, and health care is not immune, say the patient education managers we interviewed about the results of the 2009 Patient Education Management Salary Survey.
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Education awareness events aren't just for community outreach at M. D. Anderson Cancer Center in Houston. The patient education office uses the U.S. Department of Health and Human Services Health Observance Calendar to plan events for patients and staff in-house.
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Last September, staff in the public education office at M. D. Anderson Cancer Center in Houston focused their educational outreach efforts on preventing prostate cancer.
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At ProHealth Care in Waukesha, WI, community outreach is more than the hosting of an educational event from time to time.
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You might receive a citation from the U.S. Occupational Safety and Health Administration if you fail to assess respiratory hazards related to 2009 H1N1, don't use various methods to reduce employee exposure or fail to consider respirators other than N95s when there is a shortage.
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Is your patient access staff familiar with federal requirements for giving patients information on how to file complaints or grievances?
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The Medicare Secondary Payer questionnaire is not complete. The Medicare number is missing from a replacement plan. The subscriber name or date of birth is a mismatch. An account has incorrect insurance coded for third-party liability.