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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. Document why you believe that. ” – Dr.

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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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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A ‘SEET’ at the Table: Managing the Four Drivers of Patient Experience

Walker Info - Patient Experience

The following steps outline how healthcare providers can implement the four key PX dimensions. How much faith do you have in our ability to deliver the quality care you need? Putting the Four PX Dimensions to Work Elevating PX takes time and a willingness to see things through the eyes of the patient. No touchpoint is too small for inclusion.

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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. Documentation in the medical record. In the two weeks leading up to the date of recertification. As part of discharge planning.

Hospice 52
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How to automate your practice’s workflows to free up time & focus on your patients 

Health Prime

Automation in healthcare can lead to multiple benefits for your practice, such as decreased manual efforts, reduced errors, increased capacity, and speeding up administrative processes. Here are five ways you can automate your practice’s workflows to free up your staff’s time, increase revenue and focus on your patients: 1.

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14 Ways ChatGPT Is Transforming The Future Of Healthcare

Arkenea

Physicians can streamline documentation procedures, and generate medical charts, and discharge instructions. ChatGPT has become a global phenomenon, with over 1 million sign-ups to try the chatbot post-launch. With its advanced content creation features such as essays, poetry, and fiction, this AI technology is picking up pace.