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Navigating the Complexities of Social Admissions in Healthcare

EvidenceCare

Social Admission vs. Medical Necessity In healthcare, the term “social admission” signifies instances where patients find themselves admitted to a hospital primarily for non-medical reasons. However, these admissions come with their own set of difficulties, particularly in the realm of Medicare coverage and reimbursement.

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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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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.

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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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New Insights on Medicare Advantage Plans and The Two-Midnight Rule

EvidenceCare

This also means that the medical record must support the reasonableness of the clinician’s admission decision regardless of the total time spent in the facility. Compliant documentation has also become more challenging. This highlights the necessity for hospitals to implement clear and robust compliance documentation practices.

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Optimizing Process and Document Automation in Healthcare

Electronic Health Reporter

The article Optimizing Process and Document Automation in Healthcare appeared first on electronichealthreporter.com. While many industries are still taking the first steps on their transformation journeys, most healthcare organizations sit a few stages ahead on this path.

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Between the Charts: CMIO Newsletter for Prescribers - Issue 19 Now Available

Connect Care Bytes Blog

Thrive) classes New tool for inpatient transitions of care: Discharge Transfer Gateway Improvements to Mental Health Act Forms and workflows Ambulatory referral edits New Connect Quality project for CPSA PPIP requirements: Quality Discharge Documentation New Pre-Admission Clinic navigator for General Internal Medicine coming soon Upcoming upgrade to (..)