CMS released the fiscal year (FY) 2027 Inpatient Prospective Payment System (IPPS) final rule last week, outlining upcoming changes to Medicare payment rates and policies for inpatient services.
Accurately telling the patient’s story requires a thorough review of the entire medical record to identify all conditions that were addressed during the encounter, whether directly or indirectly, by the provider.
Improving patient access starts with examining the operational processes behind every request—from intake and staff training to workflow monitoring and executive oversight.
Congenital heart defects are common in pediatric documentation, yet their presence alone does not ensure they are appropriately reported or fully understood within the clinical context of an encounter.
It’s essential to go beyond surface-level knowledge and gain a true understanding of how and why social determinants of health (SDOH) data is important to track, especially for pediatric patients.