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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.

Hospital 130
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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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How One Nurse Made $2 Million in Two Years Selling Study Sheets Online

Scrubs

She said remote learning made it difficult to collaborate with other students. So, she started documenting her studying process on social media. “I Beggs shared the videos on TikTok where she quickly racked up hundreds of thousands of views. She now has over 600k followers on the app.

Follow-Up 278
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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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What is the Quadruple Aim of healthcare?

Mobius MD

By collaborating with community partners, healthcare institutions can support prevention, early intervention, and long-term health management. Popular solutions include improving documentation efficiency (a pain point for physicians) and care team coordination. The post What is the Quadruple Aim of healthcare?

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

EvidenceCare

The Impact of the Two-Midnight Rule on Denials At the 2024 HFMA Annual Conference, we asked healthcare executives if they’re seeing any changes following the CMS Two-Midnight Rule, particularly in denials. Compliant documentation has also become more challenging. Another issue is “inpatient only” procedures.

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What is Team Documentation? Benefits and tips to begin

Mobius MD

As healthcare systems become more complex, physicians are spending more time on administrative tasks, including clinical documentation. Team documentation is a powerful way to streamline patient visits and EHR data entry so the entire team can focus on delivering excellent care. What is team documentation?