NanaPrimo replied to ProgressiveThinking's topic in Activism
In response to the above conversation regarding whether the ACO changed patient's insurance - The insurance company changed its plan, probably in response to the ACO regs on Insurance Companies, so they could keep some or most of their profit margin...
NanaPrimo replied to ProgressiveThinking's topic in Activism
Unfortunately in my area, lay-offs do happen, and older experienced nurses are considered too expensive, so they tend not to be hired. The hospitals would like the state to expand Medicaid, so they get a little money at least for inpatient stays on o...
NanaPrimo replied to michaelvgrigsby's topic in ADN/BSN
I think the way your employer handled that was not really fair, but I do think a BSN should be required for certain types of nursing, such as in public health, case management, instructors - educators. However, you should have been "grandfathered in...
NanaPrimo replied to steelerfan502's topic in Case Management
My experience with status: Medicare criteria, i.e. Interqual, are listed by condition. Criteria for observation status vs. inpatient must be met for reimbursement for that stay. Also, certain surgeries are listed as to what Medicare reimburses for i...