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| 02.01.2012 |
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If there’s one thing my experience has taught me, it’s that case management is a wild and unique animal. As a field, it is marked by fluidity, changing with not only the medical, economic, legal and cultural ripples in our society but hinging on...
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| 02.01.2012 |
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Banner Health, a large nonprofit health system operating in seven states, wanted to optimize its quality and efficiency of care delivery as part of renewing its focus on the Institute for Healthcare Improvement’s Triple Aim™ – better care...
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| 02.01.2012 |
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Auditors, whether internal or external of any given organization, have the tendency to be seen as bird-dogging professionals. There’s the sense that they are looking over one’s shoulder, making one feel uncomfortable. However, when organizations...
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| 02.01.2012 |
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A medical history usually covers all the prescription medications a patient is taking, but new research from the Heart Institute at Intermountain Medical Center in Salt Lake City, Utah, shows that providers must also be careful to talk to their patients about...
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| 02.01.2012 |
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PEPPER, the Program for Evaluating Payment Patterns Electronic Report, is a quarterly report that hospitals can use to audit their Medicare charts for compliance in documentation and billing. It is produced by TMF Health Quality Institute and free to...
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| 02.01.2012 |
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As the Recovery Audit Contractor (RAC) program increases its footprint in more hospitals around the country, it is evident that RAC prevention and management is serious business – requiring its own resources, staff and workflow. In this inaugural...
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| 02.01.2012 |
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Physicians want to drive healthcare quality. We want to work with patients to improve outcomes, prevent hospital readmissions, enhance patient safety and reduce medical errors. But we can’t if the patient never makes it to our office, talks to us by...
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| 02.01.2012 |
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The evidence shows that this much is clear: For optimal results, patients diagnosed with an acute myocardial infarction, angioplasty, stent or coronary bypass surgery should be referred to participate in a cardiac rehabilitation program. An analysis done on...
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| 02.01.2012 |
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As healthcare goes mobile, devices like electronic tablets and smart phones are a common sight in the hospital and doctor’s office. Electronic health records will soon permeate many healthcare settings, and the transfer of data will become even faster...
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| 02.01.2012 |
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2011 was a monumental year for healthcare, as more provisions in the Patient Protection and Affordable Care Act went into place. As things are shaping up, the healthcare landscape in the United States is poised for more change in 2012. As care coordination...
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| 02.01.2012 |
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This edition of Rx Pipeline explores new drug approvals as defined by the FDA. This pipeline of drugs has direct application to case managers and the patients they monitor. From the treatment of cancer pain to overactive bladder, these drugs are new tools for...
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| 02.01.2012 |
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The field of case management is rapidly changing in America as a result of several key societal milestones. Changes are occurring as a result of the aging baby boomers, a continuous rise in healthcare costs, and the focus on healthcare reform. These changes...
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| 02.01.2012 |
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Lithium, one of the most commonly used – and effective – treatments for bipolar disorder, does not come without a dose of side effects that healthcare professionals should be familiar with, according to a new medical review...
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| 02.01.2012 |
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The Centers for Medicare and Medicaid Services recently published a set of frequently asked questions and answers regarding the Medicaid Recovery Audit Contractor, or RAC, program. The Patient...
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| 02.01.2012 |
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For nursing home residents with dementia, getting around can be a shaky proposition. When you add selective serotonin reuptake inhibitors, or antidepressants, to the mix, the risk of falls can increase significantly, according to new research...
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| 02.01.2012 |
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Tallying higher costs than cancer, diabetes, stroke and other highly prevalent conditions, job-related illness and injury taxes the nation an estimated $250 billion per year, according to new research that suggests greater emphasis...
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| 02.01.2012 |
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Not only are women with breast cancer largely unaware of the clinical implications surrounding their disease, but their personal preferences regarding surgery are met less than half the time, according to researchers from the University of...
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| 02.01.2012 |
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The medical home model is well known for an emphasis on quality-driven care, but a new study suggests that three hallmarks of this physician-led delivery model are linked to a decrease in a patient’s risk of death, say researchers from the University of...
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| 02.01.2012 |
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Medicare demonstrations targeted at enhancing the quality of care for elderly and disabled patients have not been successful at reducing Medicare spending, according to a January report released by the U.S. Congressional Budget Office. The report looked at the...
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| 02.01.2012 |
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1 There are multiple disease states that fall within the wide umbrella of “heart and vascular diseases,” but the leading culprit is coronary artery disease (CAD), the number-one cause of heart attack. In fact, while roughly a half-dozen tests can...
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