EvidenceCare

NOVEMBER 19, 2024

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. Newly added HCCs cover more specific conditions, removing redundant codes and adjusting groupings to align with actual patient risk.

Hospital 130

Hospital Discharges Documentation Follow-Up 130

The Healthcare Blog

JUNE 5, 2024

By KIM BELLARD Imagine my excitement when I saw the headline: “ Robot doctors at world’s first AI hospital can treat 3,000 a day.” I must admit that my enthusiasm was somewhat tempered to find that the patients were virtual. All patients, nurses, and doctors are autonomous agents powered by large language models (LLMs).”

Hospital 116

Hospital Triage Medication Patient Risk 116

Relias

MAY 1, 2022

Because the Centers for Medicare and Medicaid Services will not reimburse healthcare organizations for costs associated with hospital- or facility-acquired pressure injuries, appropriate assessment at the time of admission is vital. Risk assessment tools are one piece of the puzzle.

Documentation 98

Documentation Admissions Acute Care Communication 98

The Healthcare Blog

AUGUST 27, 2024

They replaced that old data flow from the plans with actual encounter data from the care delivered to each patient with information about each actual encounter, and that encounter data at the point of care ties back to the actual medical records that exist and that are used in the care settings for each patient.

Admissions 119

Admissions Hospital Patient Risk Insurance 119

Will Peach MD

AUGUST 21, 2023

Application and Implementation of Sedation Practice Guidelines Guideline­s for sedation should be flexible­ and applicable across a range of clinical settings, including hospitals, outpatie­nt clinics, dental offices, and eme­rgency departments.

Vital Signs 40

Vital Signs Medical History Follow-Up Continuing Education 40