Admissions Collaboration Hospital 
EvidenceCare
NOVEMBER 19, 2024
Written by Carol Howard, VP of Clinical Strategy As Medicare Advantage (MA) continues to grow, hospitals have faced growing challenges in navigating complex policies, payer friction, and financial pressures. These changes will impact how hospitals approach their contracts and denial strategies.
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.
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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.
We Care Online
MARCH 24, 2025
They also influence hospital policies, improving patient care processes and outcomes through their leadership. They are collaborating with policymakers and nursing organizations to find solutions. However, the accelerated pace can be demanding, and the admissions process is competitive.
EvidenceCare
APRIL 16, 2024
This comprehensive guide provides hospital and revenue cycle leadership with vital insights on preparing for CERT audits and establishing processes for compliant documentation. Hospitals need to be aware of these state-specific rules as well. Think of your documentation as the ironclad defense for your hospital admissions.
EvidenceCare
SEPTEMBER 4, 2024
In case you aren’t familiar, the Two-Midnight Rule mandates that a patient’s hospital stay must span at least two midnights to qualify for inpatient status, directly influencing reimbursement rates and compliance requirements. In the MA Final Rule, however, CMS explicitly states that the two-midnight presumption does not apply to MA plans.
Sensible Medicine
NOVEMBER 3, 2023
I usually see people who die alone in the hospital. There have been previous admissions after which the patient did not make it to follow-up appointments. Some of these patients die alone in the hospital, with nobody at their bedside. . They say that there is nothing worse than dying alone.
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