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Understanding DRG Codes and Their Impact on Hospitals

EvidenceCare

This can involve optimizing care plans for specific DRGs, which can lead to reduced lengths of stay and improved quality of care. Early in the stay – sometimes within minutes of the admission – we assign a “working DRG” to the encounter. This can lead to more efficient use of staff, equipment, and beds.

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Essential Strategies to Enhance and Implement Value-Based Care

Guideway Care

Early identification allows for proactive management of their conditions, reducing hospital admissions and improving overall health outcomes. Addressing Patients With Immediate Care Needs After identifying high-risk patients, addressing those needing immediate care is essential.

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PN Job Duties in a Hospice Setting

Prism Career Institute

They may also provide end-of-life companionship, or defend the patients desires when questions arise regarding their care plan. This personal touch is what sets hospice care apart from other nursing settings, and what makes it most fulfilling for the individuals who choose this path.

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AI is Transforming Healthcare Behind the Scenes

Mobius MD

However, AI can play a valuable role in reducing the burden of routine processes adjacent to clinical visits, like appointment scheduling, billing, and claims management. For example, AI-powered scheduling systems can predict patient no-shows by analyzing historical trends.

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Optimizing Revenue Cycle Management and Clinical Documentation Integrity To Avoid Coding Disasters

Relias

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. Is your organization’s coding as complete as it could be?

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Optimizing Revenue Cycle Management and Clinical Documentation Integrity To Avoid Coding Disasters

Relias

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. Is your organization’s coding as complete as it could be?

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New HIPAA Regulations in 2022-2023

The HIPAA Journal

HIPAA-covered entities will be required to post estimated fee schedules on their websites for PHI access and disclosures. Notice of Enforcement Discretion Regarding Online or Web-Based Scheduling Applications for Scheduling of COVID-19 Vaccination Appointments. The compliance date for the CMS rule was July 1, 2021.

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