Health Populi

OCTOBER 10, 2022

What factors must underpin this Holy Grail of care at home, or “anywhere?” ” Here are a few current examples of enabling pillars to support people in their self-care for chronic conditions, well-being, and acute care outside of the hospital. Start with connectivity to the home and elsewhere by phone.

Acute Care 62

Acute Care Hospital Long Term Care Insurance 62

Minority Nurse

OCTOBER 22, 2024

Nurse case managers can work as entrepreneurs and freelancers with individual clients, hospitals, insurance companies, or corporations. “This includes healthcare finance , insurance systems, quality and metrics, regulatory compliance, and balancing quality care with cost-effectiveness.

Certification 52

Certification Insurance Acute Care Patient Satisfaction 52

Minority Nurse

JUNE 18, 2022

As an occupational therapist at VA, you’ll be able to explore opportunities across the continuum of clinical care. Areas of practice include: Acute care. Robust insurance. These “occupations” – whether at home, school, the workplace, the community or elsewhere – can take on a number of forms. Assistive technology.

Acute Care 52

Acute Care Scheduling Insurance Patient Care 52

Health Populi

MAY 16, 2023

” Once cared-for, the patient can be discharged back into their community, “beyond-the-walls” to home or other neighborhood care site for post-acute care, rehabilitation, or therapy for continued care and restored well-being.

Triage 62

Triage Acute Care Appointments Discharges 62

Health Populi

FEBRUARY 16, 2023

hospital sector is facing major challenges on all fronts: staffing (especially nursing and more broadly, clinician burnout), supply chain, financial stressors, demographics, and cross-industry politics vis-à-vis pharma and health insurance. The American Hospital Association is taking disruption seriously right here, right now, as the U.S.

Hospital 71

Hospital Acute Care Diagnostics Patient Experience 71

Minority Nurse

NOVEMBER 22, 2023

Shelise Valentine, RNC, MSN, C-EFM, CPPS, CPHRM, is the Director of Clinical Education, Healthcare Risk Advisors, part of TDC Group and chairs nursing, co-chairs obstetric and simulation initiatives, and directs risk management and obstetric education for insured hospital clients to improve patient safety and reduce malpractice risk.

Unit Organization and Environment 59

Unit Organization and Environment Patient Safety Hospital Best Practices 59

Health Populi

JANUARY 2, 2024

A decade+ later, we see the maturing of the patient-as-consumer, taking on more self-care beyond fitness and wellness blurring into medical and acute care as hospitals re-locate services and monitoring to people at home and people becoming more activated in tracking chronic conditions, from head-to-toe.

Acute Care 87

Acute Care Collaboration Medication Hospital 87

Minority Nurse

APRIL 22, 2024

emergency department) Skilled nursing and long-term care facilities Hospices Retail clinics (e.g.,

Certification 59

Certification Diagnostics Long Term Care Tests 59

Minority Nurse

JULY 19, 2023

Am I still the same person?’” Every Path Is Different Sandra Nosek, MSN, RN , has been a nurse for over 30 years with experience in management, staff development, QA wound care, long-term critical acute care, hospice, and skilled nursing facilities. It rocked my world and was very scary,” she says.

Hospice 98

Hospice Follow-Up Triage Acute Care 98

Relias

FEBRUARY 1, 2023

Some insurance companies have a list of “preferred” infusion drugs and won’t pay for other drugs. Some insurance companies use third-party vendors to handle authorizations. It’s because the third party, not the insurance company, requires an authorization,” explained Brennen.

Insurance 10

Insurance Billing Documentation Hospital 10

Relias

MARCH 15, 2022

Some denials may be listed as self-pay when the patient actually had insurance. Hospitals can probably handle those internally, by running real-time eligibility and batch processing of all self-pay accounts at night to see if there is any insurance. At Spectrum Health, Patient Financial Services outsources a number of functions.

Customer Service 52

Customer Service Hospital Follow-Up Insurance 52

Arkenea

DECEMBER 2, 2024

According to a report published by Chime, 83 percent of acute care organizations stated high use of patient portals by users in 2021, as compared to 74 percent in 2020. The appointment scheduler can link patient records including insurance data, treatment history, and other records.

HIPAA 52

HIPAA Appointments Scheduling Tests 52

Relias

JULY 4, 2023

Benefits of a well-balanced charge reconciliation sheet Timely charge reconciliation can help in the following ways: It identifies issues like underpayment, insurance denials, and pending bills. If left unchecked, these issues can create revenue shortages for hospitals and health systems.

Follow-Up 52

Follow-Up Medical Coding Documentation Best Practices 52

Relias

DECEMBER 13, 2021

Health insurance plans. Supplemental insurance such as vision and dental. Your home health staff may value additional compensation that goes beyond dollars per hour: Paid sick leave. Performance bonuses. Flexible schedules. Gym memberships. Company fitness programs and challenges.

Certification 52

Certification Hospice Collaboration Insurance 52

Guideway Care

JANUARY 14, 2025

Advocates offer specialized assistance by clarifying diagnoses, laying out treatment pathways, and elucidating insurance entitlements to strengthen patients capacity to make choices rooted in knowledge. At Guideway Care, our patient advocacy solutions have demonstrated measurable success in improving bundled payment outcomes.

Patient Advocacy 52

Patient Advocacy Patient Satisfaction Discharges Hospital 52

Relias

APRIL 28, 2022

Throughout the cycle, the possibility of errors looms if your staff isn’t up to speed on the complex coding demands and rules set by hospitals, insurers, and the Centers for Medicare and Medicaid Services.

Documentation 52

Documentation Hospital Patient Experience Billing 52

Relias

JUNE 1, 2023

“If this isn’t documented in the record, it delays the authorization — and therefore, delays patient care,” said Budri. If the scheduling team doesn’t collect accurate insurance, for example, an entire claim can get denied. “A 6 – Reduce hours of rework caused by incorrect information “For staff, knowing how is not enough.

Documentation 52

Documentation Admissions Follow-Up Scheduling 52

Relias

JUNE 1, 2023

“If this isn’t documented in the record, it delays the authorization — and therefore, delays patient care,” said Budri. If the scheduling team doesn’t collect accurate insurance, for example, an entire claim can get denied. “A 6 – Reduce hours of rework caused by incorrect information “For staff, knowing how is not enough.

Documentation 52

Documentation Admissions Follow-Up Scheduling 52

Relias

APRIL 27, 2023

2 – Financial consequences of registration errors Staff members might not realize that an entire claim can be denied just because they selected the incorrect insurance. Kraus suggested these steps: Managers should provide a weekly report of denied claims (and the dollars those represent) to all revenue cycle staff.

Critical Thinking 52

Critical Thinking Follow-Up Billing Best Practices 52

Relias

JULY 2, 2024

The following are some jobs in virtual nursing and telehealth: A telehealth nurse is a registered nurse who provides care, support, and education to patients via phone, video, or online platforms. These nurses can work for hospitals, clinics, home health agencies, insurance companies, or even companies specializing in telehealth.

Communication 52

Communication Best Practices Vital Signs Triage 52

Relias

JUNE 1, 2022

Providers are trained to document from a clinical care standpoint. Coders are trained to document based on coding guidelines, governmental, or insurance standards. The patient’s record must include an operative report with a complete clinical description within the documentation.

Documentation 52

Documentation Medical Coding Admissions Follow-Up 52

Relias

JUNE 1, 2022

Providers are trained to document from a clinical care standpoint. Coders are trained to document based on coding guidelines, governmental, or insurance standards. The patient’s record must include an operative report with a complete clinical description within the documentation.

Documentation 52

Documentation Medical Coding Admissions Follow-Up 52

Relias

AUGUST 30, 2023

Yet not everyone considering care from a midwife or doula knows how to find these types of providers or whether their services are covered by their health insurance. Even if they are covered, midwifery services may count as out-of-network and are reimbursed at a lower rate, making this type of care less accessible for some patients.

Hospital 52

Hospital Medication Communication Certification 52

Relias

AUGUST 4, 2023

Top perks also included bonuses, profit sharing, malpractice insurance, and funded educational opportunities. Minimal benefits Along with compensation, benefits are important to nurses. Survey respondents listed tuition reimbursement, childcare, and other desired benefits.

Teamwork 52

Teamwork Communication Huddles/Rounds Continuing Education 52

Health Populi

JANUARY 18, 2021

Even before the COVID-19 pandemic, more hospitals were piloting and planning to move inpatient acute care to certain patients’ home when that made clinical and economic sense. motivating the move of patients from acute care settings to their homes where patients were found to be improving.

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Hospital Acute Care Patient Experience Medication 77

Relias

JULY 14, 2022

They should ensure that appropriate interventions are in place — whether they include community behavioral health resources, social workers, or other types of case management — to reduce the gap between acute care and when the patient goes home. In places where resources may be scarce, providers may need to use innovative approaches.

Patient Safety 52

Patient Safety Acute Care Discharges Insurance 52

Relias

MARCH 13, 2023

The cost of healthcare in America is high, and the price for services can vary widely by region, a patient’s access to insurance, and even by insurance provider. Formerly, hospitals did not disclose the price of individual services to patients before they received care. What is the Price Transparency Rule?

Hospital 52

Hospital Documentation Billing Insurance 52

Relias

JANUARY 16, 2023

From the growth of home-based care and telehealth to regulation changes, post-acute care leaders need to be aware of this year’s industry trends. Home-based care is growing. Value-based care is growing. Here are six to watch and prepare for as 2023 unfolds. Here are the top five responses: 72.1% gave pay raises.

Acute Care 52

Acute Care Long Term Care Scheduling Insurance 52

Practice Index

NOVEMBER 14, 2024

A statement from its ruling Council said: “BMA Council is astonished at the suggestion that GPs are not part of the NHS family and recognises the existential threat to NHS general practice across the UK by the significant increase of the National Insurance and National Living Wage burden on general practice after many years of under-investment.

Huddles/Rounds 52

Huddles/Rounds Appointments Acute Care Patient Satisfaction 52

Relias

JULY 20, 2023

The Maternity Care Action Plan has a range of initiatives — including the Birthing-Friendly designation — that span the following five areas: Coverage and access to care Data Quality of care Workforce Social supports Coverage and access to care The first section of the Maternity Care Action Plan addressed access to care.

Hospital 40

Hospital Documentation Discharges Follow-Up 40

The Healthcare Blog

JANUARY 6, 2025

The data were derived from the Healthcare Cost Institute, a repository of commercial insurance claims information from three of the four largest commercial health insurers, United Healthcare, Humana and Aetna (a subsidiary of struggling pharmacy giant CVS) plus Blue Cross/Blue Shield.

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Hospital Insurance Admissions Acute Care 83

Health Populi

NOVEMBER 7, 2018

Of course, Amazon continues its march into healthcare, as the company grows into private-label medical devices, private label products (in and outside of healthcare), leverage the PillPack acquisition, and consider its role in primary care services with the hires of staff and thought leaders in the space.

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Acute Care Insurance Medication 40