Foundation trusts. Count the cost.
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Expanding your organization's revenue cycle performance indicators beyond receivables, cash, and A/R days can help you: Keep a record and tell a story. Benchmark against your goals and industry best practices. Identify and manage trends, not single-period results. Illustrate relationships between key performance indicators.
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To be transparent, financial information needs to be easily accessible, timely, content-rich, and narrative. Not-for-profit hospitals and health systems should report detailed financial information quarterly. They need internal controls to reduce the level of complexity throughout the organization by creating standardized processes.
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Privacy and confidentiality have long been recognised as essential elements of the doctor-patient relationship. Patients should feel free to disclose the most intimate and private medical facts about themselves to their physicians in order to facilitate optimal patient care. Medical records, whether hand-written or electronic, also play an important role in other contexts, such as medical research, health care management and financial audit. In South Africa there is little consistency in approaches to patient confidentiality. There are also no national standards or policies on patient confidentiality, apart from specific ethical rules, some ad hoc statutory provisions and general constitutional provisions not directly related to the intricacies of the doctor-patient relationship. A closer look at the relevant statutory provisions reveal the existence of conflicting standards, most notably in respect of parental access to a minors' health records. The purpose of this paper is to examine the discrepancies and contradictory provisions relating to the access to and disclosure of health information, in particular parental access to health records of minors. In the final instance, some recommendations will be suggested.
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By using the Supply Chain Operations Reference model, one New York hospital was able to define and measure its supply chains, determine the weak links in its processes, and identify necessary improvements.
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The Blue Cross and Blue Shield Association was touting its plans' devotion to transparency last week, unveiling a database offering insight into a variety of healthcare trends. But some are doubting the Blues' sincerity, given the association's decision to withhold aggregate plan financial results. "It seems very inconsistent with their new emphasis on transparency and empowering people with information," says Bruce McPherson, left.
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A rigorous retrospective review of a hospital's managed care contracts should include: Contract modeling. Revenue calculation. Reporting. Follow-up.
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Hospitals and other healthcare providers suffer considerable financial loss each year because of silent PPOs. By following these measures, you can help protect your organization from such loss: Educating hospital staff to recognize silent PPO patterns Carefully wording and negotiating managed care contracts Requiring payers to fully comply with all contract terms