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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.

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STRONG HF – A Positive Trial that Does Not Help Clinical Medicine

Sensible Medicine

The Trial STRONG-HF studied two treatment strategies after a patient was discharged from the hospital after treatment for heart failure. Actual cardiologists performed these visits, which included up-titration of meds, but, also, as Adam correctly notes, patients had MD-level assessments. Here were the results.

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Highs and Lows

Sensible Medicine

Luciana Luciana’s discharge day was getting close. Her outpatient follow-up appointments were scheduled; we had reviewed her safety plan; she felt well and ready to leave the hospital. ” Seizing the interruption before I turned this into a full-blown therapy session, I got up and brought the tray over to her desk.

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A Comprehensive Comparison Between HL7 vs. FHIR

Arkenea

These challenges are as follows: A lack of a consistent data model, it is more implied. CDA The HL7 CDA (Clinical Document Architecture) is an XML-based standard that offers a structure or format for sharing clinical data such as progress notes, discharge summaries, and consultation notes. It also speeds up the data-sharing process.

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Home Health Referrals: Grow Your Network

Relias

That means making sure they are compliant with all required training, are up to date on evidence-based practices, and have the knowledge and skills to consistently provide high-quality care. Another goal is setting your patients up for success after home health services end.

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Understanding the PEPPER Can Reduce Home Health and Skilled Nursing Audit Risks

Relias

Utilizing data from the most recent three calendar years, the PEPPER offers providers specific Medicare data statistics for discharges or services that may be vulnerable to improper payments. The report is available for the following facilities: Skilled nursing facilities. Admission source. Home health agencies.

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Preparing for CERT Audits and Practicing Compliant Documentation

EvidenceCare

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.,