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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. We call them CMS 4201 violations.

Hospital 130
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Invest in Wound Care Education To Avoid Legal Risks

Relias

When it comes to assessing and treating pressure injuries, diabetic wounds, and venous wounds, investing in expertise up front can help protect your organization against costly wound care liability down the road. To minimize liability, the entire healthcare team can benefit from training in the following areas: Recognizing wound risk factors.