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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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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 122
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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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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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Navigating Medicare Advantage: Strategies for Hospitals to Tackle Growing Challenges

EvidenceCare

Written by Carol Howard, VP of Clinical Strategy As Medicare Advantage (MA) continues to grow, hospitals have faced growing challenges in navigating complex policies, payer friction, and financial pressures. These changes will impact how hospitals approach their contracts and denial strategies.

Hospital 130
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Hospitals’ COVID reporting burden to lighten as pandemic-era policies expire

Healthcare Dive - Practice Management

On Wednesday, hospitals will no longer be required to report COVID-19 admissions, capacity or occupancy data to the federal government.

Hospital 104
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Understanding DRG Codes and Their Impact on Hospitals

EvidenceCare

In our efforts to empower hospital clinicians to provide better care by having real-time transparency to cost and benchmark utilization data, we’ve learned that one of the core code systems that defines modern hospital resource management – Diagnosis-Related Groups (DRG) – is misunderstood or even unknown. What is a DRG?

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