Remove Admissions Remove Hospital Remove Patient Risk
article thumbnail

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. Newly added HCCs cover more specific conditions, removing redundant codes and adjusting groupings to align with actual patient risk.

Hospital 130
article thumbnail

Invest in Wound Care Education To Avoid Legal Risks

Relias

To minimize liability, the entire healthcare team can benefit from training in the following areas: Recognizing wound risk factors. Carefully assessing on admission. million patients suffer from pressure injuries in the U.S. Risk assessment tools are one piece of the puzzle. Keeping accurate documentation.

article thumbnail

Fake News from MedPac on Medicare Advantage Needs to Be Corrected, Pt 1

The Healthcare Blog

They replaced that old data flow from the plans with actual encounter data from the care delivered to each patient with information about each actual encounter, and that encounter data at the point of care ties back to the actual medical records that exist and that are used in the care settings for each patient.