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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

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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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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Care Coordination: The Key to Improving Patient Outcomes

Relias

In emergency care settings, care coordination can involve immediate care, hospital admission, discharge planning, follow-up care, and post-acute care. Help providers communicate and collaborate more effectively with their colleagues and patients and streamline their workflows and documentation.

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Home Health Referrals: Grow Your Network

Relias

That means making sure they are compliant with all required training, are up to date on evidence-based practices, and have the knowledge and skills to consistently provide high-quality care. Another goal is setting your patients up for success after home health services end.