Admissions Collaboration Follow-Up 
EvidenceCare
NOVEMBER 19, 2024
CMS Policy Changes to Reduce Costs Financial pressures are rising as CMS implements the updated Version 28 Hierarchical Condition Category (HCC) model , which introduces changes aimed at limiting types of codes that are most used for up-coding or over-coding to help rein in spending. We call them CMS 4201 violations.
Sensible Medicine
NOVEMBER 3, 2023
Even though my practice is made up of about 750, overwhelmingly older people, mostly with chronic medical conditions, I only attend to the death of a patient a few times a month. There have been previous admissions after which the patient did not make it to follow-up appointments. Acceptance followed and waxed and waned.
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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. Be on the lookout for post discharge audits as the Medicare Advantage plans do not have to follow the two-midnight presumption. Another issue is “inpatient only” procedures.
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. As researched by OS Inc.,
Practice Index
FEBRUARY 6, 2025
NHS England states that regional teams should be working with local government partners to set priorities for 2025/26, with an emphasis on improving timely access to general practice, urgent and emergency care, and reducing long and costly admissions to hospitals or care homes.
Health Populi
SEPTEMBER 25, 2023
Three in four nurses working in hospitals care about the success of their institution — “they show up and gown up…yet only 57% feel a sense of ownership in their hospitals, leaving leaders to expect 100% quality to be delivered by about half of the nursing workforce.”
Sensible Medicine
AUGUST 25, 2023
She responded to treatment with prednisone and was thankful at a follow-up appointment three weeks later. Over the years following her diagnosis, CT developed an impressive array of complications from the prednisone: hypertension, diabetes, a spinal compression fracture. What did I learn from her?
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