EvidenceCare

JANUARY 12, 2024

For admitting clinicians, the key lies in distinguishing between genuine medical necessity and social admissions, ensuring meticulous documentation and rightful reimbursement. Hospitals should develop a plan for care beyond their walls, but few invest in skilled nursing facilities.

Admissions 130

Admissions Documentation Outpatient Care Hospital 130

Relias

APRIL 28, 2022

Many participants have a role to play in the revenue cycle, and at each stage they must employ their specialized knowledge of how that patient interaction and service is documented in the patient’s health record. How Clinical Documentation Integrity Affects Revenue. How CDI Affects Your Organization’s Quality of Care.

Documentation 52

Documentation Hospital Patient Experience Billing 52

Relias

JUNE 1, 2022

Coding and clinical documentation have never been more important in healthcare. “We You’ll need ongoing training for your staff to improve your clinical documentation and avoid the following coding disasters. The documentation and coding are appropriate on our end. Insufficient Clinical Documentation or Underreported codes.

Documentation 52

Documentation Medical Coding Admissions Follow-Up 52

Relias

JUNE 1, 2022

Coding and clinical documentation have never been more important in healthcare. “We You’ll need ongoing training for your staff to improve your clinical documentation and avoid the following coding disasters. The documentation and coding are appropriate on our end. Insufficient Clinical Documentation or Underreported codes.

Documentation 52

Documentation Medical Coding Admissions Follow-Up 52

Minority Nurse

NOVEMBER 22, 2023

Shelise Valentine, RNC, MSN, C-EFM, CPPS, CPHRM, is the Director of Clinical Education, Healthcare Risk Advisors, part of TDC Group and chairs nursing, co-chairs obstetric and simulation initiatives, and directs risk management and obstetric education for insured hospital clients to improve patient safety and reduce malpractice risk.

Unit Organization and Environment 59

Unit Organization and Environment Patient Safety Hospital Best Practices 59

Relias

JULY 4, 2023

This coordinated partnership requires a joint effort toward the common goal of accurate charges, identification and resolution of any discrepancies, and signed documentation indicating completion. Charging occurs in the clinical departments, but patient accounting acts as the gatekeeper.

Follow-Up 52

Follow-Up Medical Coding Documentation Best Practices 52

Relias

FEBRUARY 1, 2023

Some insurance companies have a list of “preferred” infusion drugs and won’t pay for other drugs. Some insurance companies use third-party vendors to handle authorizations. It’s because the third party, not the insurance company, requires an authorization,” explained Brennen.

Insurance 10

Insurance Billing Documentation Hospital 10