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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. Traditional Medicare vs. Medicare Advantage vs commercial insurance).

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Why Financial Incentives Oppose Quality Improvement Projects in Healthcare

The Healthcare Blog

Some kind of shared savings arrangement with the insurers could help make this a win for everyone. When a patient doesn’t have to wait around in a hospital room for hours after they get a discharge order, they like that, so this is definitely a project that will improve quality from a patient perspective.

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RETAIL PHARMACY VS INSTITUTIONAL PHARMACY

CareerStep

A pharmacy technician may also be involved in resolving insurance issues. The technician also assists with the filling of prescriptions by doing such things as retrieving drug stock bottles and labeling medications to be dispensed to patients.

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A Comprehensive Guide to HL7 Messages

Arkenea

ADT ADT (Admit, Discharge, and Transfer) is the most common and widely used HL7 message types because it offers information for events such as patient registrations, admissions, updates, cancellations, patient data merges, discharges, and much more. and earlier use flat files to trigger message events XML- HL7 Version 2.XML

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The Median Hospital Charge In the U.S. for COVID-19 Care Ranges From $34-45K

Health Populi

FAIR Health based these numbers on private insurance claims associated with COVID-19 diagnoses, evaluating patient demographics (age, gender, geography), hospital charges and estimated allowed amounts, and patient comorbidities. privately-insured people. They used two ICD-10-CM diagnostic codes for this research: U07.1,

Hospital 148
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Social Determinants of Health Risks Challenge the Promise of Hospital-to-Home

Health Populi

Amidst bullish forecasts for the promise of hospital-to-home discharges, the ability for many patients to make this migration would be a difficult bridge to cross. Patients who reported at least one SDoH concern were less likely to complete a physician follow-up visit post-discharge than patients who reported no SDOH concerns.

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SDOH Data: Use Cases, Maintaining Privacy, and Health Data Ecosystems

Ciox

By identifying patients with complex needs or those at risk for re-admission, healthcare providers can focus their efforts on high-risk patients, improving care coordination and reducing unnecessary hospitalizations. Predictive analytics can also be used to optimize care management and resource allocation.