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Navigating Medicare Advantage: Strategies for Hospitals to Tackle Growing Challenges

EvidenceCare

CMS Policy Changes to Reduce Costs Financial pressures are rising as CMS implements the updated Version 28 Hierarchical Condition Category (HCC) model , which introduces changes aimed at limiting types of codes that are most used for up-coding or over-coding to help rein in spending. MA plans are looking for contradictions in provider notes.

Hospital 130
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New Insights on Medicare Advantage Plans and The Two-Midnight Rule

EvidenceCare

The Impact of the Two-Midnight Rule on Denials At the 2024 HFMA Annual Conference, we asked healthcare executives if they’re seeing any changes following the CMS Two-Midnight Rule, particularly in denials. We’re still facing the same types of denials, especially with short stays where payers push back post-discharge.”

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Preparing for CERT Audits and Practicing Compliant Documentation

EvidenceCare

A compliance measure calculates the percentage of patients discharged in the appropriate inpatient or observation bed status—a determinant that can result in major financial repercussions if misclassified. The goal for the compliance measure is to have over 95% of discharges compliant. As researched by OS Inc., “If

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The Digital Transformation of Home for Health – Brainstorming with Karsten Russell-Wood of Philips

Health Populi

At the start of CES 2021, I had the opportunity to catch up with Karsten Russell-Wood, Portfolio Marketing Leader, Post Acute & Home, Connected Care at Philips. We meet George and Audrey in their open kitchen-dining room space, with George finishing up a conversation with his cardiologist via a tablet. Take George and Audrey.

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Vanderbilt Nursing Professor Receives $3.6M to Study Telemedicine and Post-intensive Care Syndrome Recovery

Minority Nurse

million over five years to examine, with her collaborators, the efficacy of telemedicine services among people recovering from post-intensive care syndrome. Following ICU discharge, patients have problems lasting months to years that often go unaddressed,” Boehm says.

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How BPCI Enhances Patient Experience and Lowers Costs: A Comprehensive Guide

Guideway Care

Cost reduction strategies in BPCI focus on linking payment to performance, utilizing predictive analytics and interprofessional collaboration to lower expenses while maintaining high-quality care. At its heart, the BPCI program emphasizes strong collaboration between healthcare providers as essential for enhancing patient experiences.

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Best Buy Health’s Latest Insights into Technology and Care at Home

Health Populi

For early discharge monitoring , being moved from inpatient monitoring to home monitoring with follow-up care and support, again in the comfort and safety of that patient’s home. Today, Verizon announced its entry into the smart ring marketspace in collaboration with Ultrahuman’s Ring AIR product line.