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Understanding DRG Codes and Their Impact on Hospitals

EvidenceCare

Note: CMS documents how each ICD-10 code can be either a CC or MCC here. They would submit their charges post-discharge and be reimbursed. While many doctors naturally believe their patients require the highest level of care, DRGs provide an objective assessment. What role does a patient’s DRG play in CareGauge?

Hospital 130
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Care Coordination: The Key to Improving Patient Outcomes

Relias

By incorporating care coordination practices such as risk assessment, care planning, care transitions, patient education, patient navigation, telehealth, and home visits, care coordination teams can bring in resources to help patients navigate health concerns that span physical, behavioral, and social risk factors and needs.

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Why Care Coordination Is Important for Home Health and Hospice Agencies

Relias

Hospices should also be concerned about care coordination. The Centers for Medicare and Medicaid Services (CMS) is ramping up survey scrutiny for hospice this year, training surveyors to focus on interdisciplinary group care planning and coordination of care as part of an emphasis on meeting four core Conditions of Participation.

Hospice 52