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Navigating the Complexities of Social Admissions in Healthcare

EvidenceCare

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.

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Medicare Advantage Insurers Hold Sway Over More Hospital Admissions

Forbes Healthcare

Medicare Advantage is accounting for “a rising share of inpatient hospital days,” according to a new KFF study shows.

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Florida Law Requires Hospitals to Report Patients’ Immigration Status

Scrubs

A new law is set to pass in the state of Florida that will require all hospitals receiving Medicaid funding to collect information regarding their patients’ immigration status as part of the admissions process. Patients’ names also wouldn’t be disclosed to the state.

Hospital 279
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ER Waits For Hospital Beds Are Deadly. Many Hospitals Aren’t Fixing The Problem

Forbes Healthcare

Boarding—or waiting in the ER for a bed after admission—is a worsening problem in hospitals. Solutions exist but many hospitals are not addressing the issue.

Hospital 125
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How Innovative Health Tech Can Reduce Hospital Re-Admission Rates

Electronic Health Reporter

The Hospital Re-admissions Reduction Program took effect in 2012 with the goal of sustainably lowering hospital re-admission rates. The article How Innovative Health Tech Can Reduce Hospital Re-Admission Rates appeared first on electronichealthreporter.com.

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Hospital emergency visits, inpatient admissions decrease after ransomware attack

Healthcare Dive - Practice Management

Nearby unattacked hospitals were affected too, suggesting the consequences from a ransomware attack reach beyond targeted facilities, according to a JAMA study.

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New Insights on Medicare Advantage Plans and The Two-Midnight Rule

EvidenceCare

In case you aren’t familiar, the Two-Midnight Rule mandates that a patient’s hospital stay must span at least two midnights to qualify for inpatient status, directly influencing reimbursement rates and compliance requirements. In the MA Final Rule, however, CMS explicitly states that the two-midnight presumption does not apply to MA plans.