Racmonitor.medlearn.com

The New Outpatient SDoH Codes: How they Apply and What Can …

WEBCommunity Health Integration: G0019 and G0022. The Community Health Integration (CHI) codes are billed as a monthly charge, initiated after a provider visit in …

Actived: 8 days ago

URL: https://racmonitor.medlearn.com/the-new-outpatient-sdoh-codes-how-they-apply-and-what-can-be-done/

Understanding the U.S. Playbook to Address the Social …

WEBThe Biden Administration has released a new playbook addressing three “pillars” of emphasis related to the social determinants of health (SDoH), from the …

Category: Health Go Health

PSI 90: Understanding the Fulcrum of Quality and Safety in …

WEBThe PSI structure includes PSI 90, which is a composite of select PSIs that serves as an overview for hospital-level quality and potential areas for improvement. …

Category: Health Go Health

How Social Determinants of Health Documentation Impacts …

WEBThe government and private sector are addressing the importance of SDoH data to assess and alleviate healthcare disparities and inequities. Advanced practice …

Category: Health Go Health

New Hospital Reporting Requirements for SDoH – RACmonitor

WEBNew Hospital Reporting Requirements for SDoH. By Tiffany Ferguson, LMSW, CMAC, ACM. October 5, 2022. CMS has implemented two measures under its …

Category: Health Go Health

HINN-12: A Medicare Patient Has Appealed Their Discharge.

WEBStep 1: The Medicare patient has appealed their discharge or there is an expectation to appeal. The day has come! Case management has worked hard and has …

Category: Health Go Health

Trends in Healthcare for 2024 – RACmonitor

WEBIn 2024, you can expect even higher drug prices. GSK will cut prices for asthma, herpes, and anti-epileptic drugs, but it is the exception. According to 46Brooklyn …

Category: Health Go Health

The Rising Cost of Blood Thinners: A Burden on Medicare and …

WEBSeptember 18, 2023. According to a new report by Patients for Affordable Drugs, Medicare spent an astonishing $46 billion on just two blood thinners between 2015 and 2020. …

Category: Health Go Health

United Healthcare’s Medicare Advantage and the Two-Midnight Rule

WEBRonald Hirsch, MD, is vice president of the Regulations and Education Group at R1 Physician Advisory Services. Dr. Hirsch’s career in medicine includes many …

Category: Medicine Go Health

Physician Advisors: Bridging the Gap Between Confusion and …

WEBPhysician advisors from large academic centers to small community hospitals across the country will gather March 11 – 13 in Atlanta for NPAC 2019, …

Category: Health Go Health

New versus Established Patients: Do you Know the Rules and …

WEBAnother important difference between the codes is that the new patient codes (99201–99205) require that all three key components (history, exam, and medical …

Category: Medical Go Health

Making the Case for Clean Claims – RACmonitor

WEBIn CMS Manual System, Pub. 100-04, Medicare Claims Processing, dated July 20, 2007, CMS uses the phrase “other-than-clean” to describe an unclean claim. …

Category: Health Go Health

Evaluating Healthcare Workforce Shortages – and Efforts to …

WEBThe past three years have been rife with turmoil in the staffing sector of the healthcare industry. A recently published study found that more than 145,000 healthcare …

Category: Health Go Health

The Art of the Physician Query – RACmonitor

WEBAn effective query process aids the hospital’s compliance with billing/coding rules. According to the American Health Information Management Association (), …

Category: Health Go Health

HHS: Natural Disasters’ Impact on U.S. Healthcare is Devastating, …

WEBThe media often measures the impact of natural disasters in terms of their comparative costs, including costs to infrastructure and the cost to human life. As we …

Category: Health Go Health

Why Understanding the ABN is Essential for Providers and …

WEBThe Advance Beneficiary Notice (ABN), Form CMS-R-131, provided by the Centers for Medicare & Medicaid Services (CMS, is vital for healthcare providers, …

Category: Health Go Health

Who Owns the Chart

WEBBy John Zelem, MD, FACS and Henry Draughon. January 20, 2022. Ownership questions persist and remain controversial. Recently we have been involved in several discussions …

Category: Health Go Health

What Case Managers Need to Know About the 3-Day Rule for SNF …

WEBThe end of the public health emergency (PHE) brings new challenges regarding the old Three-Day rule. The three-day stay for Medicare patients is the …

Category: Health Go Health

Why Are Patient Appeals More Common Than Expected

WEBThe first message from Livanta’s report is that patient appeals are much more common than one might expect. They note that they handled over 200,000 hospital …

Category: Health Go Health

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