May 2, 2017
News & Insights

CMS penalized more than half of hospitals participating in its Hospital Readmissions Reduction Program (HRRP) from fiscal year 2013 to 2017, according to a recent Health Affairs study. The average penalty increased from 0.29% in 2013 to 0.6% in 2017. Health Affairs referred to this as a modest penalty, bearing in mind that opportunities for penalization have increased since 2013.

May 3, 2017
HIM Briefings

Overcoming barriers to care for LGBT individuals can require a culture shift at an organization, but it can be as simple as adding additional options to forms. It’s up to organizations to close the gap, and HIM plays a central role in identifying barriers, implementing change, and fostering a culturally competent environment.

April 28, 2017
News & Insights

Should physicians write an order for a specific postacute care provider, such as a home health agency or skilled nursing facility?

April 28, 2017
Case Management Monthly

Nancy is a manager of a hospital with a large indigent population. Nancy notes that immediately after the implementation of healthcare reform, many of her patients have obtained some form of health insurance, usually Medicaid. Often, the patients access Medicaid with the help of the hospital’s expert financial counselors. Recently, however, the number of uninsured patients in the community seems to be increasing. As a result, more uninsured patients are being admitted. Before healthcare reform, many uninsured people failed to seek timely, preventive healthcare. Therefore, they were quite sick by the time they came to a hospital. Nancy is now seeing a resurgence of uninsured indigent patients.

April 25, 2017
News & Insights

A recent study revealed good news for hospitals taking advantage of one or more Medicare value-based reforms. Participation in Medicare programs that focus on improving quality and value of care can often lead to a larger reduction in 30-day readmissions, according to JAMA Internal Medicine.

April 21, 2017
News & Insights

Should a choice be given for all types of postacute care providers?

April 18, 2017
News & Insights

Should hospitals refer patients to postacute care providers with which they have a financial relationship?

April 18, 2017
Case Management Monthly

Does your discharge planning process ensure patients are getting adequate and accurate nutritional support? It might not, according to two new studies presented at the American Society for Parenteral and Enteral Nutrition (ASPEN) Clinical Nutrition Week (CNW) conference. 

April 11, 2017
News & Insights

Employing a comprehensive disease management program for hospital patients with chronic obstructive pulmonary disease (COPD) can significantly reduce hospital admissions and length of stay (LOS), according to a study published in the International Journal of Chronic Obstructive Pulmonary Disease. A comprehensive disease management program should include education, case management, and follow-up.

April 11, 2017
News & Insights

Please explain the relationship between the chargemaster and cost reporting.

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