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Navigating Medicare Advantage: Strategies for Hospitals to Tackle Growing Challenges

EvidenceCare

Written by Carol Howard, VP of Clinical Strategy As Medicare Advantage (MA) continues to grow, hospitals have faced growing challenges in navigating complex policies, payer friction, and financial pressures. Recently, I interviewed industry experts who discussed these issues in depth during a live recording of The Better Care Podcast.

Hospital 130
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Simplifying Medical Documentation: The Role of Healthcare Document Scanners

Scrubs

In the bustling corridors of a hospital or a private clinic, healthcare professionals often face a daunting avalanche of paperwork. Agendas are filled to the brim, and stacks of patient records teeter on desks, demanding attention. It’s no secret that healthcare document scanners have revolutionized medical documentation.

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Maine Hospital Using AI to Record Patient Conversations

Scrubs

“This saves physicians what we call ‘pajama time,’ when they finish their work after hours, and the patient gets the full attention from the physician and full eye contact,” he said. Deborah Vaughan, a patient at the hospital, said she appreciates being able to look her doctor in the eye while talking about her health.

Hospital 264
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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. There can also be state variations with additional regulations regarding documentation and coding requirements that layer on top of federal guidelines.

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

Practice Index

Survey findings In the survey, 96.46% of respondents agreed that Practice Managers impact patient outcomes, with the majority selecting Definitely Yes or Probably Yes. This consensus was shared across both GPs and Practice Managers, demonstrating a collective recognition of the value of this managerial role in patient care quality.

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Understanding DRG Codes and Their Impact on Hospitals

EvidenceCare

In our efforts to empower hospital clinicians to provide better care by having real-time transparency to cost and benchmark utilization data, we’ve learned that one of the core code systems that defines modern hospital resource management – Diagnosis-Related Groups (DRG) – is misunderstood or even unknown.

Hospital 130
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The Alarming Trend of Seasoned Nurses Being Laid Off: Profits Over Patient Care? 

Minority Nurse

The top reasons reported for leaving were burnout, feeling undervalued, and a high patient-to-nurse ratio. However, hospital layoffs are another culprit driving experienced nurses from their profession. Getting rid of seasoned nurses will not solve the hospital’s financial problem.