The Healthcare Blog

DECEMBER 18, 2024

If you missed it read Part 1 & Part 2 By JEFF GOLDSMITH Two major changes in health insurance ensued as the US health system entered the 21 st century- a strategic shift of health cost risk from providers to patients and the emergence of machine driven managed care. Some 60% of hospital bad debts are now from patients with insurance.

Insurance

Medical Economics

JULY 21, 2025

Mergers of hospitals and OB-GYN practices led to significant price increases for labor and delivery services, highlighting the impact on patient costs. Many hospital-physician integrations evade regulatory review due to their size, despite significant consumer harm, challenging antitrust enforcement. hospital ownership in 2016.

Hospital

The Healthcare Blog

JANUARY 6, 2025

By JEFF GOLDSMITH In late June, 2024, two economists, Zarek Brot-Goldberg and Zack Cooper, from the University of Chicago and Yale respectively, released an economic analysis arguing that hospital mergers damage local economies and result in an increase in deaths by suicide and drug overdoses in the markets where mergers occur.

Hospital

Forbes Healthcare

JULY 24, 2024

Medicare Advantage is accounting for “a rising share of inpatient hospital days,” according to a new KFF study shows.

Admissions

EvidenceCare

JANUARY 12, 2024

Social Admission vs. Medical Necessity In healthcare, the term “social admission” signifies instances where patients find themselves admitted to a hospital primarily for non-medical reasons. However, these admissions come with their own set of difficulties, particularly in the realm of Medicare coverage and reimbursement.

Admissions

Health Populi

FEBRUARY 26, 2020

hospitals and why I’ve titled this post, “outpatient is the new inpatient,” a future paradigm for U.S. This realization is informed by data in a new report from Deloitte, Where have the many hospital inpatient gone? Our ability to create that network outside the hospital is huge.”

Hospital

Health Populi

JULY 1, 2020

health systems are projected to lose $323 billion in 2020 due to declining inpatient and outpatient volumes caused by the COVID-19 pandemic’s impact on the “normal” hospital business. Hospitals racked up over $200 bn in losses between March and June 2020. leading to growing un- and under-insured people).

Hospital

EvidenceCare

APRIL 16, 2024

This comprehensive guide provides hospital and revenue cycle leadership with vital insights on preparing for CERT audits and establishing processes for compliant documentation. Traditional Medicare vs. Medicare Advantage vs commercial insurance). Hospitals need to be aware of these state-specific rules as well.

Documentation

Health Populi

MARCH 22, 2018

Beyond strong medicines, a new financial toxicity has emerged for patients due to hospital inpatient admissions. The “measurement” named in the title is graphed here as the proportion of people who filed for bankruptcy relative to years before or after hospitalization.

Hospital

The HIPAA Journal

APRIL 4, 2025

Mercer County Joint Township Community Hospital in Coldwater, Ohio, has suffered a significant data breach involving the electronic protected health information of up to 88,541 individuals. The post Mercer County Joint Township Community Hospital Cyberattack Affects Up to 88,500 Individuals appeared first on The HIPAA Journal.

Hospital

Scrubs

OCTOBER 20, 2023

Another study revealed that nurses wearing unconventional attire, such as colorful scrubs reduced anxiety among children in a hospital setting. In fast-paced, high-stress environments like hospitals, it’s vital that other healthcare professionals and patients are able to easily identify who’s who.

Admissions

Health Populi

MAY 14, 2019

The mainstreaming of SDoH speaks to the awareness that health is made where we live, work, play, pray, learn and shop… beyond the health”care” system of hospitals, doctors’ offices, and prescription drug dispensaries. McKinsey conducted the survey among over 12,500 U.S.

Insurance

The HIPAA Journal

JULY 31, 2025

The affected individuals had received healthcare services at HCA hospitals and doctors’ offices in 20 U.S. HCA Healthcare denies the claims and contentions in the lawsuit; however, it negotiated a settlement to resolve the litigation, with no admission of liability or wrongdoing. HCA Healthcare Inc. million in fees.

Admissions

The Healthcare Blog

APRIL 29, 2024

Their logic always goes something like “XY% of patients used our solution, most of them like it, and after they use it hospital admissions and ER visits go down, and clinical metrics get better”. Also worth a mention that many of those insurers, including Aetna & United have competitive diabetes products too.

Insurance

The HIPAA Journal

APRIL 28, 2025

Email accounts have been compromised at four HIPAA-regulated organizations: Alternate Solutions Health Network in Ohio; Park Royal Hospital in Florida; 90 Degree Benefits in Minnesota; and the Charleston Fire Department in West Virginia. Almost 107,000 individuals have been affected.

HIPAA

Prism Career Institute

JUNE 1, 2024

While more than half of the medical assistants employed in the United States work in hospitals and medical offices, medical assistants can perform their duties in a variety of settings. The post Beyond Hospitals: Where Else Can Medical Assistants Work? But variety isn’t found only in their responsibilities.

Medical Assistant

Health Populi

FEBRUARY 14, 2018

Health insurers in the state are now allowed to offer plans with limited benefits, escaping the rules for plans in the Affordable Care Act that provided for a list of covered benefits. David Cameron, the state’s Director of Insurance, called this strategy, “pushing the envelope” in an interview with NPR last month.

Admissions

The Healthcare Blog

JANUARY 15, 2025

All QI projects can be divided into three categories: Category 1: Supported by financial incentives Category 2: Neutral to financial incentives Category 3: Opposed by financial incentives Determining which category a potential project will fall into is important for predicting how much support from hospital leadership a QI project will have.

Discharges

Health Populi

JUNE 5, 2018

Brownlee, now an SVP at the Lowns Institute and Co-Founder of the Right Care Alliance, pointed out the dangers of super-sized medicine, from unnecessary radiation exposure and hospital infections to medical errors and duplication of services. It’s not enough to open up doctors notes to patients.

De-Escalation

Prism Career Institute

FEBRUARY 11, 2025

A good understanding will help you succeed in a variety of areas: Accurately and efficiently fulfilling physician requests Communicating effectively with other team members Requesting funding from insurance companies Educating patients and their families Medical terminology can sound like another language at times.

Medical Assistant

Prism Career Institute

JULY 23, 2024

OB/GYN medical assistants can be found in physician offices, family planning centers, hospital outpatient clinics, urgent care, health maintenance organizations (HMOs), and more. You can contact us for more information on our program and its admission requirements.

Medical Assistant

The HIPAA Journal

APRIL 27, 2025

Read more… Guam Memorial Hospital Authority Guam Memorial Hospital Authority, the operator of a public hospital in the U.S. OCR agreed to settle the alleged HIPAA violation, and Guam Memorial Hospital Authority agreed to pay a $25,000 financial penalty. The HIPAA violation case was settled with a $10,000 penalty.

HIPAA

Prism Career Institute

OCTOBER 6, 2024

Medical assistants are trained support staff found in hospitals, nursing facilities, and medical organizations everywhere. Contact us to learn more about admissions requirements or to get started. Here, we introduce the four most important personality qualities of a medical assistant. What Do Medical Assistants Do?

Medical Assistant

CareerStep

MAY 27, 2024

Institutional, or hospital pharmacy, involves less public interaction. Working in a hospital pharmacy may involve going on rounds with the doctor or medical students if the particular hospital does rounds, according to Jesie Davenport , CPhT, pharm tech academic lead, and instructor.

Huddles/Rounds

The Healthcare Blog

AUGUST 29, 2024

We know that the plans have 40% fewer hospital admissions for congestive heart failure, and almost 80% lower amputation rates for the lowest income diabetic members, and we know that the plans use those savings from better care to also to provide much better benefits for all of the members.

Admissions

Milwaukee Career College

APRIL 17, 2020

However, with the pandemic, hospitals need medical assistants more than projected estimates, which means that workers in the medical field may enjoy job security for many years to come. If you would like to learn more, talk to a Milwaukee Career College admissions advisor today. You can also train to become a surgical technician.

Medical Assistant

Relias

JUNE 1, 2022

Undercoded Complex Hospital Admissions. Coders are challenged to select the codes that best convey the reason for admission. Coders are having difficulty coding all of the aspects of the admission that they really should,” said Bowman. Providers are trained to document from a clinical care standpoint.

Documentation

Relias

JUNE 1, 2022

Undercoded Complex Hospital Admissions. Coders are challenged to select the codes that best convey the reason for admission. Coders are having difficulty coding all of the aspects of the admission that they really should,” said Bowman. Providers are trained to document from a clinical care standpoint.

Documentation

Northwest Suburban College

APRIL 4, 2024

From clinical procedures to administrative duties, the expertise of a medical assistant is essential in ensuring the smooth functioning of medical offices, clinics, and hospitals. – Medical Administrative Specialist: Focuses on advanced administrative duties, such as insurance coding, medical transcription, or medical office management.

Medical Assistant

Relias

JUNE 1, 2023

However, large technology investments aren’t always realistic in the near term when hospitals and health systems are struggling financially. If the scheduling team doesn’t collect accurate insurance, for example, an entire claim can get denied. “A About 30% of payers require these notifications.

Admissions

Relias

JUNE 1, 2023

However, large technology investments aren’t always realistic in the near term when hospitals and health systems are struggling financially. If the scheduling team doesn’t collect accurate insurance, for example, an entire claim can get denied. “A About 30% of payers require these notifications.

Admissions

Northwest Suburban College

MARCH 8, 2024

Their key tasks include: Administrative Duties: Medical Assistants handle essential administrative tasks such as scheduling appointments, managing patient records, and conducting insurance billing to keep the practice running efficiently.

Clinical Operations

Prism Career Institute

MARCH 1, 2024

These codes are extremely important to medical billing procedures, and proper use can help reduce the amount of paperwork patients receive from their insurance companies. They can find work in almost any healthcare setting, including medical center research studies, private physician practices, public health clinics, and hospital departments.

Medical Assistant

Healthcare Law Insights blog

JULY 7, 2023

The Supreme Court issued a number of headline-grabbing decisions this term on topics like religious accommodation , LGBTQ protections , and consideration of race in college admissions. The decision may have benefited him, but the hospital never offered him anything at all. The hospital simply left things where they were.

Transfers

Arkenea

MARCH 15, 2025

Interoperability within an Organization A hospital’s IT systems communicate with each other and share data to improve care and efficiency. These can include messages that inform patients about admissions, tracking medication orders or lab results. They will then have to request authorization from the insurance company.

Unit Organization and Environment

MedAssistantEDU.org

SEPTEMBER 16, 2021

Depending upon the working facilities like physician’s offices, clinics, hospitals, or other healthcare facilities, medical assistants have to fulfill several job responsibilities. Having updated records also help with treatments and claiming health insurance.

Medical Assistant

Arkenea

JANUARY 25, 2025

Additionally, favorable e-prescribing standards and rules published by the CMS (Centers for Medicare and Medicaid Services) are increasing the adoption of e-prescribing amongst hospitals, clinics, and pharmacies. This can result in fatalities and hospitalization of patients. Thereby, ensuring better patient health and outcome.

Transfers