Because of the high risk that laptop computers and other portable devices create for a potential privacy breach, healthcare organizations should consider creating an easy-to-understand training guide that describes staff members’ responsibilities.
Rita, an 82-year-old female, is involved in a motor vehicle accident while traveling from South Dakota to Arkansas in early January. She arrives at the hospital Sunday afternoon with a concussion and two fractured ribs.
Physicians can defer admission decisions to those who truly understand level of care—the case managers. The method is called the “admit per case management protocol.
The appeal process is much more complex than conducting a clinical review for an insurance company. Appeal writers must complete a full review of the record and consider multiple sources, such as CMS guidelines and managed care contracts, to successfully argue their case.
