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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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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,

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Get ready for CPT codes changes in 2024 

Health Prime

These descriptors are an essential resource that hospitals, medical practices, health plans, and other CPT users can incorporate into English-language documents, such as insurance forms, price sheets, medical records, patient portals, and more.

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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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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.

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Estimates of COVID-19 Medical Costs in the US: $20K for inpatient stay, $1300 OOP costs

Health Populi

In the midst of growing inpatient admissions and test results for COVID-19, Congress is working as I write this post to finalize a round of legislation to help Americans with the costs-of-living and (hopefully) health care in a national, mandated, clarifying way. Hospital costs could average over $20,000, the report calculated.