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Navigating Medicare Advantage: Strategies for Hospitals to Tackle Growing Challenges

EvidenceCare

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. MA plans are looking for contradictions in provider notes.

Hospital 130
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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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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.,

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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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On Other Channels.

Connect Care Bytes Blog

T-minus 0: Share and Learn Launch 9 Supporters Handout Reminder for Launch 9 Supports Resources for Super Users and Area Trainers on Launch 9 Support Issues FAQ Do I use a Recommendation or Referral to send a patient to an allied health provider?

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When Will Medical Schools Give You an Answer?

Accepted Blog

Some programs are very clear about not wanting anything but the primary and secondary applications, and you should always follow their instructions. what’s on their admissions website) and show that you’ve done your research. Trust that the admissions office is working through the applications as fast as they can.

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What to Expect After Medical School

Accepted Blog

For this section of our Med School Admissions: What You Need to Know To Get Accepted series, I’ll provide a brief rundown of what happens after you graduate from medical school. The rest is up to you. The drawback of this is having to pick up and move two times. Let’s take a look at the different stops you’ll make along the way.