article thumbnail

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
article thumbnail

New Discharge Transfer Gateway to Replace Transfer and Discharge Navigators

Connect Care Bytes Blog

As of June 26, 2025 , a new “Discharge Transfer Gateway” can be found in all patient charts opened to an inpatient encounter. The Gateway replaces the prior “Transfer” and “Discharge” navigators. These include discharge to home, within-facility transfers, and inter-facility transfers (IFTs). ASAP, Critical Care).

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Connect Quality - New CPSA PPIP Project Now Available on Discharge Documentation

Connect Care Bytes Blog

We have organized the resources, training, reporting tools, and documentation required for you to meet CPSA PPIP requirements, so you can focus on looking after your patients. A template that can be used to document all CPSA requirements. Our goal is to make your work easier. An example Action Plan. Sign up today at connectquality.ca

article thumbnail

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.

article thumbnail

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.

article thumbnail

Insights from Digital Health Leaders at ViVE 2025

EvidenceCare

Dr. 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. The idea of integrating multiple solutions into one seamless experience is something I hadnt seen as much in the past, Wilcox shared.

article thumbnail

Avoiding the Pitfalls of Involuntary Nursing Home Discharges/Transfers in Missouri

Healthcare Law Insights blog

In certain cases, nursing homes may discharge or transfer a resident even if the resident does not consent to the discharge or transfer – this is known as an “involuntary discharge” or an “involuntary transfer.” In this case, the resident has the right to appeal the involuntary discharge or transfer. 19 CSR 30-82.050(3).