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Navigating Medicare Advantage: Strategies for Hospitals to Tackle Growing Challenges

EvidenceCare

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
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Preparing for CERT Audits and Practicing Compliant Documentation

EvidenceCare

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.

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Zoom, Suki partner to deploy AI clinical documentation

Healthcare Dive - Practice Management

The deal is Suki’s largest provider collaboration. Nearly 140,000 healthcare institutions use the Zoom platform.

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Practice Managers and patient outcomes – New research highlights their critical role

Practice Index

Leadership and culture They set the operational tone of the practice, fostering an environment that supports patient engagement and staff collaboration. Staffing and workforce management Recruitment, retention and staff wellbeing are overseen by PMs, directly affecting the availability and quality of care.

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What is the Quadruple Aim of healthcare?

Mobius MD

By collaborating with community partners, healthcare institutions can support prevention, early intervention, and long-term health management. Popular solutions include improving documentation efficiency (a pain point for physicians) and care team coordination. The post What is the Quadruple Aim of healthcare?

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What is Team Documentation? Benefits and tips to begin

Mobius MD

As healthcare systems become more complex, physicians are spending more time on administrative tasks, including clinical documentation. Team documentation is a powerful way to streamline patient visits and EHR data entry so the entire team can focus on delivering excellent care. What is team documentation?

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

EvidenceCare

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. Compliant documentation has also become more challenging. Another issue is “inpatient only” procedures.