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As the Centers for Medicare & Medicaid Services (CMS) moves to strengthen the tie between quality of care and hospital reimbursement, hospitals should take a systematic and universal approach to identifying patients at risk and preventing hospital-acquired conditions for all patients and not just those covered by Medicare, says Leslie Schultz, RN, NEA-BC, PhD, CPHQ, director, knowledge transfer for Premier Inc.
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When a patient discharged on a Friday is back in the hospital the following Monday, there can be many reasons.
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Case managers should be involved in their hospitals' efforts to ensure compliance with the Centers for Medicare & Medicaid Services (CMS) regulations that require documentation of conditions that are present on admission and deny payment for certain conditions acquired during the hospital stay, experts say.
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The Centers for Medicare & Medicaid Services (CMS) continues to move at a rapid pace toward value-based purchasing, proposing expansion in hospital quality reporting requirements and increasing the number of hospital-acquired conditions for which Medicare won't reimburse.
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Cognitive Impairment Progression Blunted by Exercise; Incidentalomas in the Knee; Hormone Replacement and Skin Health in Menopausal Women; Reconfirmation of the Death of Homocysteine; Pramlintide as a Weight-Loss Adjunct; Undiagnosed Diabetes in Obese Americans
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Which came first: the chicken or the egg? Likewise, are what the Centers for Medicare & Medicaid Services labels "never events" really never events if they happen?
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The National Quality Forum (NQF) has endorsed 67 clinician-level consensus standards related to cancer care, infectious diseases, perioperative care, and care provided by thousands of medical professionals who are not MDs.