Ensuring patients are being treated with the right level of care helps facilities allocate resources appropriately and keeps costs lower for patients and health systems.
With inpatient rehabilitation facility admissions under increasing auditor scrutiny, learn about tactics you can use at your facility to identify audit risks.
A recent survey highlighted the healthcare challenges face by low-income Americans. Read about how understanding these challenges can improve patient care at your facility.
A recent survey highlighted the healthcare challenges face by low-income Americans. Read about how understanding these challenges can improve patient care at your facility.
Inpatient or observation? Making this decision remains a considerable challenge at many hospitals—and when they get it wrong, it can also be a costly one.
If your organization is not already screening short inpatient stays, now may be a good time to start, says Ronald Hirsch, MD, FACP, CHCQM, CHRI, a vice president at R1 RCM Inc. in Chicago.
Rusty is a member of a street gang in his city. He joined the gang five years ago when he was 17, and still believes it was the right decision. Now at age 22, the members are like his family.
Many case management and finance departments have been busy with appeal activities since CMS resumed its regulatory audits on August 3, 2020. Utilization review (UR) nurses are reporting increasing numbers of commercial denials as the coronavirus (COVID-19) pandemic is resolving.
