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Navigating Medicare Advantage: Strategies for Hospitals to Tackle Growing Challenges

EvidenceCare

Documentation Challenges and Payer Friction As MA plans focus on profit margins, hospitals are encountering increased payer friction, denials, and administrative burdens, particularly around the CMS Two-Midnight Rule. Document why you believe that. She provides education to physicians to document their internal monologue.

Hospital 130
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Prior Authorization Is Changing

EvidenceCare

Service Categories Affected by PA Advanced imaging (MRI, CT, PET) Elective surgeries (orthopedic and bariatric) Behavioral health (IOP, residential) Specialty biologics and infusions Cardiac diagnostics/tests DME (wheelchairs, CPAP machines) Inpatient admission from ED or observation What’s changing? Kennedy, Jr. gold carding”).

Insurance 147
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Is A Health Unit Coordinator Job Hard?

We Care Online

Managing admissions, transfers and discharges. Document and communicate with the healthcare team. Healthcare documentation. Key challenges include: Fast-Paced: Hospitals work on the basis of speedy and precise work which can get overwhelming Problem Solving: HUCs address scheduling conflicts or documentation problems quickly.

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Engaging Physicians in Quality Improvement: Strategies for Driving Practice Change

EvidenceCare

Real-time dashboards can also flag length of stay variance, prompting collaboration to streamline processes and free up capacity for higher-acuity admissions. Within weeks of surfacing such insights, ordering rates can fall to match best-practice targets, reducing unnecessary interventions and costs.

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Florida Gastroenterology Practice Settles Data Breach Class Action Complaint

The HIPAA Journal

The defendant denied and continues to deny all claims and contentions in the litigation; however, agreed to settle the case with no admission of wrongdoing or liability to avoid the litigation costs and expenses, distractions, burden, expense, and disruption to business operations associated with further litigation.

HIPAA 57
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2025 Guide to Billing in Hospital Management Systems

Arkenea

These systems offer significant advantages in data consistency and workflow efficiency, as clinical documentation automatically flows into billing processes without manual intervention. The system should offer RESTful APIs with comprehensive documentation and developer support.

Billing 40
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HIPAA: Understanding Patient Confidentiality and How It Relates to Medical Assistants

Prism Career Institute

To maintain patient confidentiality, medical assistants are expected to secure electronic records and ensure physical documentation is not left unattended. Contact us today for more information about our admissions process or Medical Assistant Program in Cherry Hill and West Atlantic City , NJ, and Philadelphia, PA.