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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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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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Insights from Digital Health Leaders at ViVE 2025

EvidenceCare

Wilcoxs journey into digital health started with a simple observation: patients in the post-anesthesia care unit were experiencing unnecessary delays in discharge, leading to longer hospital stays. Dr. Rich Loomis The Biggest Operational Challenge in Healthcare?

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

EvidenceCare

Robin Gantea, Executive Director of Utilization Management and Clinical Documentation Integrity from Baptist Health Jacksonville mentioned, “We haven’t seen changes in behavior related to the Two-Midnight Rule. We’re still facing the same types of denials, especially with short stays where payers push back post-discharge.”

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BBHR: Expanded Access to Improved Transition Planning Tools

Connect Care Bytes Blog

Building a Better Health Record (BBHR) As part of our documentation quality improvement initiative , we promote practical ways for clinicians to provide clear and actionable communication at transitions of care. All have been enhanced in response to user feedback. A SHS column can be added to Rapid Rounds (and other) patient lists.

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RAG in Healthcare: Your Complete Guide to Its Implementation

Arkenea

Unlike conventional AI models that rely solely on their training data, RAG combines the power of large language models with real time information retrieval from your organization’s specific databases and documents.

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EHR Interoperability: In-Depth Guide (2025 updated)

Arkenea

Simply put, it’s the capability of different EHR systems to share, interpret, and collaboratively use data across various healthcare environments. HL7 states that C-CDA provides a library of templates and prescribes their use for specific document types. CDA CDA (Clinical Document Architecture) is a standard developed by HL7.