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. These can range from the need for custodial care to a desire to avoid personal challenges.

Admissions 130

Admissions Documentation Outpatient Care Hospital 130

Relias

JUNE 1, 2022

Undercoded Complex Hospital Admissions. Coders are challenged to select the codes that best convey the reason for admission. With the shift to value-based care and risk adjustment models, there’s a need for coding that gives a complete clinical picture of the patient.

Documentation 52

Documentation Medical Coding Admissions Follow-Up 52

Relias

JUNE 1, 2022

Undercoded Complex Hospital Admissions. Coders are challenged to select the codes that best convey the reason for admission. With the shift to value-based care and risk adjustment models, there’s a need for coding that gives a complete clinical picture of the patient.

Documentation 52

Documentation Medical Coding Admissions Follow-Up 52

Relias

JUNE 1, 2023

If the scheduling team doesn’t collect accurate insurance, for example, an entire claim can get denied. “A 7 – Streamline payer notifications of admission Banner Health’s revenue cycle staff sent faxes 20 to 100 times a day to notify health plans about a patient’s admission. About 30% of payers require these notifications.

Documentation 52

Documentation Admissions Follow-Up Scheduling 52

Relias

JUNE 1, 2023

If the scheduling team doesn’t collect accurate insurance, for example, an entire claim can get denied. “A 7 – Streamline payer notifications of admission Banner Health’s revenue cycle staff sent faxes 20 to 100 times a day to notify health plans about a patient’s admission. About 30% of payers require these notifications.

Documentation 52

Documentation Admissions Follow-Up Scheduling 52

Health Populi

JANUARY 18, 2021

Even before the COVID-19 pandemic, more hospitals were piloting and planning to move inpatient acute care to certain patients’ home when that made clinical and economic sense. motivating the move of patients from acute care settings to their homes where patients were found to be improving.

Hospital 77

Hospital Acute Care Patient Experience Medication 77

Relias

MARCH 13, 2023

The cost of healthcare in America is high, and the price for services can vary widely by region, a patient’s access to insurance, and even by insurance provider. Formerly, hospitals did not disclose the price of individual services to patients before they received care. What is the Price Transparency Rule?

Hospital 52

Hospital Documentation Billing Insurance 52