Many case managers have been working to forge ties with community groups in an effort to help patients maintain their health once they leave the hospital. But do these ties with community-based organizations help keep patients out of the hospital?
Electronic health records fall short of early promises that they would reduce administrative costs, a recent study found. The cost of completing insurance- and billing-related activities in the EHR can represent more than a quarter of professional reimbursement for an emergency department visit.
Q: Our facility does not have a standard appeal letter template to respond to medical necessity denials. Do you have any suggestions for how to respond?
Transitions of care are a time when lapses can occur and problems can arise. Transfers are one of those transitions, and asking the right questions can help ensure problems aren’t overlooked, including ones that could later interfere with quality.
