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JANUARY 11, 2023

For example, less than 20% of Medicare spending is currently value-based. But momentum will continue, since the Centers for Medicare and Medicaid Services (CMS) announced in 2021 that it plans to transition fully to value-based reimbursement by 2030. Healthcare organizations in the U.S. Why the change to value-based care?

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Medicare Healthcare Medicaid Hospitals 52

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JANUARY 30, 2024

Improving patient experience scores is a goal for many healthcare organizations — and for good reason. As they consider new ideas to raise patient satisfaction, healthcare leaders must have an understanding of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scoring system that evaluates these efforts.

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DECEMBER 8, 2022

But there is a particular educational tool that tends to fall under the radar of many healthcare organizations. Every year, the Centers for Medicare and Medicaid Services (CMS) releases the Program for Evaluating Payment Patterns Electronic Report (PEPPER). Long‐term acute care hospitals. Partial hospitalization programs.

Medicare 52

Medicare Hospice Rehabilitation Hospitals 52

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DECEMBER 21, 2021

For Medicare claims, you already track care quality and report it to the Centers for Medicare and Medicaid Services (CMS). Those quality ratings appear on Medicare’s Care Compare website and inform prospective clients how well you’re achieving positive outcomes. Improve Your Quality Ratings. Market Your Successes.

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Medicare Hospitals Medicaid Healthcare 52

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APRIL 28, 2022

Revenue cycle management (RCM) is the financial process that makes it possible for most healthcare organizations to fulfill their mission of providing quality care for patients and communities. RCM is the set of functions that comprise the capture, management, and collection of patient service revenue in a healthcare organization.

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Clinic Healthcare Medicare Medicaid 52

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APRIL 18, 2022

Reducing the number of hospital- or facility-acquired pressure injuries, which are nonreimbursable. Reducing hospital readmission rates by consistently attending to risk factors. Chronic wounds affect about 15% of Medicare beneficiaries each year. Reduce Hospital Readmissions. Build Your Reputation as a Specialist.

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Medicare Clinic Hospitals Medicaid 52

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SEPTEMBER 1, 2022

With the successes reaped during the pilot of the Home Health Value-Based Purchasing (HHVBP) program, the Centers for Medicare and Medicaid Services (CMS) aims to accelerate the results nationwide. Are they sent to the hospital for evaluation because the agency does not have adequate staff to see the patient that day? million decrease.

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Medicare Hospitals Medicaid Healthcare 52

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MAY 6, 2025

In fact, one report by the American Hospital Association found that an overwhelming 94% of physicians think running a practice has become more financially and administratively difficult. Technology expenses After a slow start, healthcare has entered the digital age. What are some costs physician practices face?

Healthcare 40

Healthcare Administration Communication Medicare 40

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MARCH 12, 2025

Regulatory drivers and competency standards Compliance with federal and state regulations is a top priority for healthcare organizations. Whether its skilled nursing facilities, hospitals, or home health agencies, regulatory bodies require that healthcare providers demonstrate competency in delivering patient care.

Patient Safety 40

Patient Safety Healthcare Medicare Clinic 40

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DECEMBER 13, 2021

An unintended, but positive offshoot of the pandemic is that the crisis highlighted home health’s “very quick and successful adjustments” and “versatility” to serve COVID-19 patients and millions of others served under Medicare, Medicaid, Veterans Administration, and other services. Increased Compensation. Looking at the Big Picture.

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Home Care Hospice Healthcare Medicare 52

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JUNE 1, 2022

Coding and clinical documentation have never been more important in healthcare. “We Undercoded Complex Hospital Admissions. In the long run, we need a good understanding of exactly what conditions and risk factors and other aspects are affecting hospitalizations and patient care outcomes,” explained Bowman. Downcoding by Payers.

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Clinic Justice and Corrections Medicare Healthcare 52

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JUNE 1, 2022

Coding and clinical documentation have never been more important in healthcare. “We Undercoded Complex Hospital Admissions. In the long run, we need a good understanding of exactly what conditions and risk factors and other aspects are affecting hospitalizations and patient care outcomes,” explained Bowman. Downcoding by Payers.

Clinic 52

Clinic Justice and Corrections Medicare Healthcare 52

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MARCH 5, 2025

With its rapid-acting benefits and potential to reduce suicidality, ketamine is becoming an increasingly important tool in behavioral healthcare. However, IV infusions must be administered by a healthcare professional due to the higher potency and rapid effects. Despite its effectiveness, ketamine therapy requires careful oversight.

Patient Safety 40

Patient Safety Medicare Treatment Planning Administration 40

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AUGUST 11, 2022

According to the Journal of AHIMA , unresolved claim denials cause an average annual loss of $5 million per hospital. Analyzing the data allows providers to identify errors that may be occurring throughout the cycle and lower expenses from denials, incomplete claims, or healthcare fraud investigations.

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Clinic Medicare Healthcare Administration 52

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OCTOBER 28, 2022

Improved care quality and patient safety, reduced readmissions and ER visits, and lower healthcare costs are just some of the positive outcomes of effective care coordination. Although home health and hospice nurses don’t close out their shifts with a report as in hospitals, they can establish a similar mind-set of follow-up.

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Hospice Communication Clinic Patient Safety 52

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MAY 1, 2022

The Agency for Healthcare Research and Quality calculates that more than 17,000 lawsuits related to pressure injuries are filed each year — second only to wrongful death suits. Understanding the legal implications of gaps in care can help protect all involved: physicians, nurses, other caregivers, and healthcare administrators and leaders.

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Healthcare Hospitals Communication Medicare 98

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JANUARY 23, 2023

In our study, we noted that as few as 28% of women with PPD symptoms reported them to a healthcare provider. My colleagues and I work to help improve maternal health outcomes by providing the best education and competency evaluation solutions for the healthcare workforce. We ultimately lost her to complications from PPD.

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Depression Patient Safety Mental Health Medicare 98

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OCTOBER 14, 2022

maternal mortality continues to increase despite the availability of world-class healthcare resources. No hospitals or birth centers offering obstetric care. Along with providing training and resources, they help midwives overcome the distrust of healthcare providers that often surfaces in marginalized populations. In the U.S.,

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Telehealth Healthcare Hospitals Patient Safety 52

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JUNE 19, 2023

Since 2016, fewer patients with severe wounds have received care in long-term care hospitals, and more patients have gone to less costly facilities like inpatient rehabilitation and skilled nursing facilities. According to the Agency for Healthcare Research and Quality , about 2.5 billion in fiscal year 2016 to $2.01 billion to $11.6

Healthcare 52

Healthcare Rehabilitation Medicare Hospitals 52

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OCTOBER 10, 2022

Federal and state agencies’ routine surveys of healthcare organizations can be stressful. With the Biden administration advocating for stricter scrutiny on nursing homes, we know inspection of healthcare facilities may increase even more. Regardless of the healthcare setting, you don’t want to be on this type of list.

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Nursing Home Healthcare Hospice Medicare 52

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FEBRUARY 26, 2024

According to the Agency for Healthcare Research and Quality (AHRQ), care coordination is “the deliberate organization of patient care activities between two or more participants (including the patient) involved in a patient’s care to facilitate the appropriate delivery of health care services.”

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Telehealth Healthcare Communication Hospitals 52

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JANUARY 16, 2023

A McKinsey & Company survey shows that up to $265 billion worth of care services could shift from traditional healthcare facilities to the home by 2025. Department and Human Services found that Medicare visits conducted through telehealth in 2020 increased 63-fold, from about 840,000 in 2019 to 52.7 Penalties rise to $1M.

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Healthcare Telehealth Medicare Nursing Home 52

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MARCH 13, 2023

In the healthcare industry, regulations and best practices are always changing. For example, a new Hospital Price Transparency Rule came into effect in 2022. Unfortunately, many hospitals are struggling to implement the new standards promptly. Why are hospitals failing their audits? What is the Price Transparency Rule?

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Hospitals Medicare Healthcare Medicaid 52

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APRIL 6, 2022

New requirements from the Centers for Medicare and Medicaid Services (CMS) announced in November 2021 and a new time-limited enforcement effort by the Occupational Safety and Health Administration (OSHA) announced in March call for focused inspections and put a higher level of scrutiny on nursing home compliance and the quality of care provided.

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Nursing Home Medicare Medicaid Hospitals 52

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JULY 20, 2023

­The Centers for Medicare and Medicaid Services (CMS) issued a final rule in August 2022 to improve maternal health outcomes and advance health equity — two of the Biden-Harris Administration’s key priorities. The new measures included the Birthing-Friendly hospital designation to help reduce maternal mortality and morbidity.

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