EvidenceCare

APRIL 16, 2024

This comprehensive guide provides hospital and revenue cycle leadership with vital insights on preparing for CERT audits and establishing processes for compliant documentation. This section delves into the specific criteria and expectations set by CERT audits, emphasizing the need for meticulous attention to detail and documentation accuracy.

Documentation 130

Documentation Admissions Discharges Billing 130

EvidenceCare

NOVEMBER 19, 2024

Documentation Challenges and Payer Friction As MA plans focus on profit margins, hospitals are encountering increased payer friction, denials, and administrative burdens, particularly around the CMS Two-Midnight Rule. Document why you believe that. She provides education to physicians to document their internal monologue.

Hospital 130

Hospital Discharges Documentation Follow-Up 130

EvidenceCare

SEPTEMBER 4, 2024

Robin Gantea, Executive Director of Utilization Management and Clinical Documentation Integrity from Baptist Health Jacksonville mentioned, “We haven’t seen changes in behavior related to the Two-Midnight Rule. We’re still facing the same types of denials, especially with short stays where payers push back post-discharge.”

Documentation 130

Documentation Admissions Hospital Discharges 130

EvidenceCare

MAY 29, 2024

Within just 11 months of going live, Baptist Health received the Epic Gold Star Level 10 award, a testament to their operational excellence and collaborative culture. Success Relies on Collaboration At the foundation of Baptist Health’s successful Epic implementation was their culture of collaboration.

Collaboration 130

Collaboration Documentation Discharges Medical History 130

Connect Care Bytes Blog

NOVEMBER 5, 2024

Building a Better Health Record (BBHR) As part of our documentation quality improvement initiative , we promote practical ways for clinicians to provide clear and actionable communication at transitions of care. All have been enhanced in response to user feedback. A SHS column can be added to Rapid Rounds (and other) patient lists.

Discharges 40

Discharges Huddles/Rounds Transfers Communication 40

Relias

FEBRUARY 26, 2024

It involves communicating and collaborating with patients, their families, and their health care teams to ensure that the patient’s needs and preferences are met and that the best possible outcomes are achieved. The team should document successes and address any challenges or issues that arise. What is care coordination?

Care Plan 52

Care Plan Patient Satisfaction Acute Care Collaboration 52

Relias

OCTOBER 28, 2022

Assessing communication and collaboration. Surveyors will look for structured and unstructured types of care coordination to assess how well the care team members communicate and collaborate to provide better patient care. Documentation in the medical record. As part of discharge planning. Document all coordination.

Hospice 52

Hospice Interdisciplinary Team Follow-Up Documentation 52