Hospitals, Systems Spend $39B Annually on Regulatory Compliance
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Conditions of participation, medical billing, and coverage verification's topped the list of costliest regulatory compliance categories, an AHA study showed.
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The Hidden Tragedy of the Opioid Crisis
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When President Trump declared the opioid crisis a public health emergency Thursday, he noted that "last year we lost at least 64,000 Americans to overdoses." He is not incorrect. A preliminary analysis for 2016 from the Centers for Disease Control and Prevention estimated the toll
at... Click Here to Read More
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Nursing Shortage Hits Crisis Levels
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A shortage of experienced nurses has hit the United States, particularly in rural communities, forcing many hospitals in the Midwest to recruit nurses from one another. One way hospitals have tried to alleviate the crisis is by using foreign nurses to fill the gap. But it can take years for nurses to
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CMS Publishes RADV Medical Reviewer Guidance |
In the Medicare Advantage (MA) context, "risk adjustment" is the process by which the Centers for Medicare & Medicaid Services (CMS) reimburses Medicare Advantage Organizations (MAOs) based on demographic factors and the health status of enrolled members. By regulation, MAOs must
submit...
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Emergency Care: CDI in the ED Part II
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It is my opinion that investing CDI resources into the neglected stepchild that is the hospital system ED is a worthwhile endeavor. Getting diagnoses captured early and repeatedly creates performance improvement. Even more importantly, improved documentation improves patient care, and that is the overarching goal of all healthcare
institutions. There are three main concerns when discussing ED CDI...
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