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.
Unlike politicians who only give lip service to working with rivals, BryanLGH and Saint Elizabeth Regional Medical Center have joined forces to create Lincoln ED Connections, which helps patients who use the ED for primary care.
In March, President Obama signed the Patient Protection and Affordable Care Act into law. Although the regulations enacting the legislation remain on CMS’ to-do list, providers expect changes to how the government pays them.
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.
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.
Q. We are an MRI facility, and our services are referral- based. Faxing MRI reports to referring providers after radiologist review is our standard procedure. Patients can schedule follow-up appointments with referring providers to obtain results of their MRI scans. Patients regularly request a copy of the report at the time of their MRI scans or within several days of the scan when they pick up a copy of MRI films.
Does HIPAA require us to provide patients a copy of the report even when the provider has not interpreted the report and image?
