Contract negotiations can make or break a hospital, because in addition to setting the price list for services provided to the insurer’s members, the negotiations also affect the resources that the provider expends to comply with the contract terms. Use this sample language as a template for your organization.
CMS introduced the inpatient-only list in 2001 to ensure patients who undergo complex, high-risk surgical procedures receive postoperative monitoring services in an inpatient setting.
Research has shown that high drug costs can have a substantial effect on patient care. Learn how these costs can impact skilled nursing facility (SNF) admissions.
The Office of Management and Budget recently approved new versions of the Important Message from Medicare, Detailed Notice of Discharge, and Medicare Outpatient Observation Notice.
An increasing number of rural communities are turning to paramedicine programs to check on patients and catch their health problems before they require a trip to the emergency department.
Ronald Hirsch, MD, FACP, CHCQM, CHRI, vice president of the Regulations and Education Group at R1 RCM Inc. Physician Advisory Solutions, answers questions on the Medicare Outpatient Observation Notice (MOON) and 2-midnight rule.
One of the biggest changes that will take place when the COVID-19 public health emergency ends on May 11 is the reintroduction of the three-day stay skilled nursing facility (SNF) requirement.
