Remove Admissions Remove Discharges Remove Documentation
article thumbnail

Preparing for CERT Audits and Practicing Compliant Documentation

EvidenceCare

This comprehensive guide provides hospital and revenue cycle leadership with vital insights on preparing for CERT audits and establishing processes for compliant documentation. This section delves into the specific criteria and expectations set by CERT audits, emphasizing the need for meticulous attention to detail and documentation accuracy.

article thumbnail

All User Bulletin: Admission and Discharge Navigator Optimizations

Connect Care Bytes Blog

Enhancements to Core Admission and Discharge Navigators Connect Care uses "Navigators" to help prescribers complete complex workflows when key tasks are easy to forget. Core "Admission" and "Discharge" navigators organize review (e.g., orders) and documentation (e.g.,

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Trending Sources

article thumbnail

Navigating Medicare Advantage: Strategies for Hospitals to Tackle Growing Challenges

EvidenceCare

Documentation Challenges and Payer Friction As MA plans focus on profit margins, hospitals are encountering increased payer friction, denials, and administrative burdens, particularly around the CMS Two-Midnight Rule. Document why you believe that. She provides education to physicians to document their internal monologue.

Hospital 130
article thumbnail

New Insights on Medicare Advantage Plans and The Two-Midnight Rule

EvidenceCare

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. We’re still facing the same types of denials, especially with short stays where payers push back post-discharge.” Another issue is “inpatient only” procedures.

article thumbnail

Understanding GMLOS and ALOS

EvidenceCare

GMLOS is calculated by taking the nth root of the product of the length of stay for a series of discharges, where ‘n’ represents the number of discharges. Unlike GMLOS, ALOS is calculated by adding the total number of stay days for a group of patients and dividing by the number of discharges or admissions.

article thumbnail

Connect Care Scheduled Downtime - Thursday October 10, 2024, 00:30-04:30

Connect Care Bytes Blog

PRD SRO is accessible from any computer used for documenting in Connect Care regularly. What you need to do BEFORE DOWNTIME Complete orders and documentation in the chart before downtime begins. DURING DOWNTIME Check with Unit Clerk/Charge Nurse to confirm processes for ordering, documentation, and patient movement.

article thumbnail

Understanding DRG Codes and Their Impact on Hospitals

EvidenceCare

Note: CMS documents how each ICD-10 code can be either a CC or MCC here. They would submit their charges post-discharge and be reimbursed. This is why Clinical Documentation Improvement (CDI) is so important to ensure documentation accurately reflects a patient’s Severity of Illness (SOI).

Hospital 130