EvidenceCare
JANUARY 12, 2024
Social Admission vs. Medical Necessity In healthcare, the term “social admission” signifies instances where patients find themselves admitted to a hospital primarily for non-medical reasons. However, these admissions come with their own set of difficulties, particularly in the realm of Medicare coverage and reimbursement.
EvidenceCare
APRIL 16, 2024
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.
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EvidenceCare
NOVEMBER 19, 2024
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.
EvidenceCare
SEPTEMBER 4, 2024
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. Compliant documentation has also become more challenging. This highlights the necessity for hospitals to implement clear and robust compliance documentation practices.
Electronic Health Reporter
JANUARY 25, 2019
The article Optimizing Process and Document Automation in Healthcare appeared first on electronichealthreporter.com. While many industries are still taking the first steps on their transformation journeys, most healthcare organizations sit a few stages ahead on this path.
Connect Care Bytes Blog
JULY 26, 2024
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., problem, medication and allergy validation), action (e.g.,
Relias
JUNE 1, 2022
Coding and clinical documentation have never been more important in healthcare. “We You’ll need ongoing training for your staff to improve your clinical documentation and avoid the following coding disasters. Undercoded Complex Hospital Admissions. The documentation and coding are appropriate on our end.
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