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Navigating Medicare Advantage: Strategies for Hospitals to Tackle Growing Challenges

EvidenceCare

These include updates to the Star Ratings system, RADV (Risk Adjustment Data Validation) audits, the upcoming 2025 Final Rule containing the final rate announcements, and adjustments to prior authorization requirements. Document why you believe that. She provides education to physicians to document their internal monologue.

Hospital 130
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Upcoming ICD-10 Code Changes for October 1, 2024: What You Need to Know 

Health Prime

The Centers for Medicare & Medicaid Services (CMS) released the ICD-10-CM code set update for fiscal year (FY) 2025. Staying abreast of these updates is crucial for medical practices, billing specialists, and healthcare providers to ensure accurate documentation, seamless billing processes, and compliance with regulatory standards.

Billing 105
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Connect Care Scheduled Downtime and Spring Upgrade - Thursday March 13, 2025, 00:30-04:30

Connect Care Bytes Blog

The next scheduled update will occur during downtime on Thursday, March 13, 2025, between 00:30 and 04:30. PRD SRO (the read-only copy of the production environment) will be available during this outage; PRD SRO is accessible from any computer used for documenting in Connect Care regularly. Netcare also remains available.

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Why Care Coordination Is Important for Home Health and Hospice Agencies

Relias

The HHCAHPS Survey will determine 30% of an agency’s total performance score, and that score will in turn determine the agency’s payment adjustment for 2025. Documentation in the medical record. As part of discharge planning. Document all coordination. If it didn’t get documented, it didn’t get done.”.

Hospice 52
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Document & Results Routing Optimization – eDelivery Routing Changes and Downtime January 27, 2025, 00:30-02:30

Connect Care Bytes Blog

On Monday, January 27, 2025 , the next implementation stage of the Connect Care Results Routing Optimization project will take place. This stage will improve the electronic delivery of some results and clinical documents to healthcare providers by making "eDelivery" (i.e., consult letter) Shared summative documents/notes (e.g.,