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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 patientrisk.
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).”
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.
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.
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.
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