Admissions Billing Insurance 
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. However, these admissions come with their own set of difficulties, particularly in the realm of Medicare coverage and reimbursement.
EvidenceCare
APRIL 16, 2024
From understanding the audit requirements to implementing technology for streamlined admission documentation , this article offers actionable strategies to ensure hospitals are well-prepared for the rigorous evaluation process. Traditional Medicare vs. Medicare Advantage vs commercial insurance).
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Health Populi
JULY 16, 2020
FAIR Health based these numbers on private insurance claims associated with COVID-19 diagnoses, evaluating patient demographics (age, gender, geography), hospital charges and estimated allowed amounts, and patient comorbidities. privately-insured people. They used two ICD-10-CM diagnostic codes for this research: U07.1,
Health Populi
FEBRUARY 26, 2020
.” And another verbatim observation that illustrates some hospitals’ doubling-down on the outpatient opportunity: “The focus of the past 10 years has been on preventing readmissions, and now in the next 10 years, the focus will be on preventing admissions.”
Prism Career Institute
JANUARY 9, 2025
These may include: Aging patients or those with disabilities who struggle with mobility Severely ill patients who cannot travel safely School and college students who do not own vehicles Working patients with busy schedules In addition, many insurance providers now prioritize home-based services. appeared first on Prism Career Institute.
Health Populi
MARCH 22, 2018
Beyond strong medicines, a new financial toxicity has emerged for patients due to hospital inpatient admissions. The graph illustrates the effect of hospital admission on bankruptcy, with the rate of bankruptcies increase in the years after hospital admission, both one and four years after the admission.
Prism Career Institute
FEBRUARY 11, 2025
A good understanding will help you succeed in a variety of areas: Accurately and efficiently fulfilling physician requests Communicating effectively with other team members Requesting funding from insurance companies Educating patients and their families Medical terminology can sound like another language at times.
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