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.
Sensible Medicine
SEPTEMBER 25, 2023
Patients may develop a disease that requires admission to the hospital, mostly because of lung problems, such as the need for oxygen. Indirect organ damage is common in medical conditions that are severe enough to warrant admission to the hospital. The disease might affect other organs—either directly or indirectly.
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EvidenceCare
NOVEMBER 19, 2024
McNair emphasized the value of collaborative discharge planning, noting that “a multidisciplinary approach… with social workers, care managers, and payer resources… can be instrumental in addressing social admits and complex discharges.” Think in ink.” Report 4201 violations when appropriate.
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. Think of your documentation as the ironclad defense for your hospital admissions.
Accepted Blog
MARCH 20, 2024
Teamwork and collaboration require effective listening. Show that your ability to listen to others, to take in other points of view, and to express your understanding of those views helped eased tensions and increased collaboration. By Judy Gruen, former Accepted admissions consultant. Show that you were an active listener.
EvidenceCare
SEPTEMBER 4, 2024
This also means that the medical record must support the reasonableness of the clinician’s admission decision regardless of the total time spent in the facility. Strengthen Contract Language: Ensure that contracts with payers clearly define the criteria for inpatient admissions and require adherence to the Two-Midnight Rule.
Sensible Medicine
NOVEMBER 3, 2023
There have been previous admissions after which the patient did not make it to follow-up appointments. Our visits evolved from he and I talking; to he and his wife sharing the stage at the visit, collaborating to provide the history; to visits where his wife did most of the talking except when they would argue in the room.
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