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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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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.

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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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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.

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The Importance of Nurses Educating Patients and 10 Ways to Improve Patient Education

DropStat

The importance of nurses educating patients is well known and documented in studies showing that patient education results in greater patient compliance and leads to better health outcomes. Moreover, healthcare is increasingly shifting towards patient- and consumer-centered healthcare.

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A Comprehensive Comparison Between HL7 vs. FHIR

Arkenea

These challenges are as follows: A lack of a consistent data model, it is more implied. CDA The HL7 CDA (Clinical Document Architecture) is an XML-based standard that offers a structure or format for sharing clinical data such as progress notes, discharge summaries, and consultation notes. HL7 vs. FHIR: Which is Better?

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When Will Medical Schools Give You an Answer?

Accepted Blog

Some programs are very clear about not wanting anything but the primary and secondary applications, and you should always follow their instructions. There are always applicants who get later interviews, however, so don’t give up hope. Don’t give up! Second, check whether you fall within their range of accepted students.