{"title":"An effective third-party payer relations program.","authors":"D L Padget","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The techniques used to exercise control over billed fees and the resulting customary charge profile constitute the physician's third-party payer relations program. Here are the key elements of an effective program.</p>","PeriodicalId":80113,"journal":{"name":"Pathologist","volume":"40 9","pages":"30-4"},"PeriodicalIF":0.0,"publicationDate":"1986-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21170334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Autopsy diagnoses can increase DRG reimbursement.","authors":"J Holmes, D M Baer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>To determine how missed clinical diagnoses revealed at autopsy might affect third-party payment through DRGs, the authors performed a retrospective comparison of clinical and pathologic diagnoses in 100 consecutive cases that came to autopsy. In 13 of these cases, the autopsy findings resulted in a change in DRG assignment, which could have produced an additional $14,235 for the hospital.</p>","PeriodicalId":80113,"journal":{"name":"Pathologist","volume":"40 9","pages":"36-9"},"PeriodicalIF":0.0,"publicationDate":"1986-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21181212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pathologists, computers, and control of the clinical laboratory database.","authors":"B A Friedman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>There will be increasing competition in hospitals for access to and control of the hospital clinical database, and one of the major causes of this competition, the author suggests, is that administrators and physicians have a different set of goals and objectives. To maintain the integrity of the lab database, pathologists must lobby vigorously for a partly decentralized system with the lab's information system operating semi-autonomously.</p>","PeriodicalId":80113,"journal":{"name":"Pathologist","volume":"40 9","pages":"40-6"},"PeriodicalIF":0.0,"publicationDate":"1986-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21150685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Dr. Derman testifies on MD-DRGs.","authors":"H Derman","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80113,"journal":{"name":"Pathologist","volume":"40 8","pages":"51-4"},"PeriodicalIF":0.0,"publicationDate":"1986-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21181625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The prognosis for the hospital-based pathologist--Part 2.","authors":"J R Bierig, J C Dechene","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Last month the authors diagnosed the condition of the hospital-based pathologist and prescribed a large dose of competitive activities to improve security and financial well-being. In this concluding article the complications of this treatment are examined, highlighting the issues that pathologists must resolve as they venture forth into a new practice environment.</p>","PeriodicalId":80113,"journal":{"name":"Pathologist","volume":"40 8","pages":"27-31"},"PeriodicalIF":0.0,"publicationDate":"1986-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21145427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The prognosis for the hospital-based pathologist--Part 1.","authors":"J R Bierig","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Both the security and the financial well-being of the hospital-based pathologist have been shaken by ten major developments in the last five years. In this first installment of a two-part article, the authors review these events and the symptoms they have produced. Following their diagnosis, they present a comprehensive plan of treatment.</p>","PeriodicalId":80113,"journal":{"name":"Pathologist","volume":"40 7","pages":"30-3"},"PeriodicalIF":0.0,"publicationDate":"1986-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21148315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Organizational theory and the structuring of clinical laboratories.","authors":"R O Valdiserri","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The utility of theory is not restricted to the field of pathology and the \"hard\" sciences. It is, for example, a mistake to assume that \"common sense\" is all that is required for laboratory directors to successfully fulfill their management duties. Organizational theory offers a valuable perspective for pathologists as they contemplate the structure of the clinical laboratory and prepare for the future.</p>","PeriodicalId":80113,"journal":{"name":"Pathologist","volume":"40 7","pages":"25-7"},"PeriodicalIF":0.0,"publicationDate":"1986-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21148314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Blood bank surveys: problems and responses.","authors":"E S Cooper, T L Simon","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80113,"journal":{"name":"Pathologist","volume":"40 7","pages":"12-4"},"PeriodicalIF":0.0,"publicationDate":"1986-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21148312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A solution to declining autopsy rates--the Decedent Affairs Office.","authors":"J H Smith, A K Haque, P R Gilmer, S Jekielek","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Can the decline in autopsy rates be reversed by solving logistical problems that impede or deter permissions and arrangements? The authors report an increase in the autopsy rate at their institution after a Decedent Affairs Office was established. Furthermore, the time between death and autopsy has been greatly narrowed, thus providing optimal tissue for diagnosis. As an additional benefit, the number of organ donations has also risen.</p>","PeriodicalId":80113,"journal":{"name":"Pathologist","volume":"40 7","pages":"22-4"},"PeriodicalIF":0.0,"publicationDate":"1986-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21148313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}