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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.

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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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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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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.

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Enhancing Patient Safety in Nursing: Strategies and Practices

Relias

They monitor patients’ conditions, administer medication, and convey self-care and discharge information. Educating patients Patients’ lack of compliance with post-discharge self-care routines — including wound management, medication regimens, and occupational therapy — is a common source of preventable errors in health care.

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Why Care Coordination Is Important for Home Health and Hospice Agencies

Relias

While the plan of care is always the number one area for citations, care coordination consistently ranks right up there,” said SimiTree Compliance Senior Manager Sheila Salisbury-Sizemore. Assessing communication and collaboration. In the two weeks leading up to the date of recertification. Care coordination under HHVBP.

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