Remove Discharges Remove Documentation Remove Follow-Up
article thumbnail

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
article thumbnail

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. Targeted clinical decision support , such as focusing on same-day discharge rates for low-risk patients, can increase evidence-aligned discharges and reduce readmissions.

Insiders

Sign Up for our Newsletter

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

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

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. We’re still facing the same types of denials, especially with short stays where payers push back post-discharge.”

article thumbnail

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.

article thumbnail

Top 4 Service Recovery Best Practices

Relias

Relying solely on post-discharge surveys or online reviews means youre reacting too late. These timely insights create a critical window of opportunity to follow up with patients before dissatisfaction turns into disengagement or negative public reviews. rude, confused, pain).

article thumbnail

Top 4 Service Recovery Strategies for Turning Feedback Into Action

Relias

Relying solely on post-discharge surveys or online reviews means youre reacting too late. These timely insights create a critical window of opportunity to follow up with patients before dissatisfaction turns into disengagement or negative public reviews. rude, confused, pain).