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Navigating Medicare Advantage: Strategies for Hospitals to Tackle Growing Challenges

EvidenceCare

CMS Policy Changes to Reduce Costs Financial pressures are rising as CMS implements the updated Version 28 Hierarchical Condition Category (HCC) model , which introduces changes aimed at limiting types of codes that are most used for up-coding or over-coding to help rein in spending. Document why you believe that. ” – Dr.

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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. When clinicians privately see how their imaging rates, antibiotic choices, or LOS metrics stack up against trusted colleagues, the data becomes personal and motivating.

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

Prism Career Institute

HIPAA is a law passed in 1996, mandating that all healthcare providers, health plans, and medical staff follow certain procedures to ensure patient privacy and safety. To maintain patient confidentiality, medical assistants are expected to secure electronic records and ensure physical documentation is not left unattended.

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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. Patients should be able to view statements, make payments, set up payment plans, and communicate with billing staff through the portal.

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A ‘SEET’ at the Table: Managing the Four Drivers of Patient Experience

Walker Info - Patient Experience

The following steps outline how healthcare providers can implement the four key PX dimensions. How much faith do you have in our ability to deliver the quality care you need? Putting the Four PX Dimensions to Work Elevating PX takes time and a willingness to see things through the eyes of the patient. No touchpoint is too small for inclusion.

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What do the Neighbourhood Health Guidelines mean for Practice Managers?

Practice Index

While the document sets out a vision for integrated, community-focused care, it provides little in the way of clear guidance for GP practices, leaving them uncertain about how they fit into the evolving system. The publication of the Neighbourhood Health Guidelines for 2025/26 has once again left general practice in the dark.

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Managed Care History Part III: The Rise of Machine-Driven Managed Care

The Healthcare Blog

Instead of shopping for care, consumers found themselves saddled with almost $200 billion in medical bills they could not pay, and hospitals and physicians ended up eating most of it. A key factor in the wave of denials was the increased centrality of hospital emergency admissions as the main gateway to complex and expensive inpatient care.