Hospitals affiliated with Medicare accountable care organizations are more likely than other hospitals to avoid rehospitalizations from skilled nursing facilities, a Health Affairs study found.
Obtaining appropriate inpatient status orders for inpatient-only procedures can be difficult due to the EMR and written orders that are still in existence. Is it true that if the surgeon or attending physician orders observation/outpatient status after an inpatient-only procedure that we must bill as outpatient? Can we use our utilization review committee to overturn the observation/outpatient order in this scenario? Please advise.
This week's note from the instructor discusses the future of Recovery Auditor reviews and the latest information from CMS as discussed during the recent Hospital Open Door Forum.
With the new year comes a new federal administration and a new president. How will case management be affected, and what should case managers do to prepare for the changes that may come? There are a lot of questions, but almost no answers.
