Hospital
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MAC mobile reviews an eye-opening experience
The first time Winthrop University Hospital in Mineola, NY, experienced a mobile review from National Government Services, New Yorks Medicare Administrative Contractor (MAC), the panel of three nurses reviewed 20 cases on site and denied claims for all 20 cases. -
Medicare is primary, but claim still denied?
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Medicare audit program still going strong
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Team approach improves care coordination
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Stop needless and costly write-offs
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Work with physicians to ensure record is complete
Many physicians in hospitals all over the country still havent gotten the idea of what needs to be documented in order for hospitals to be reimbursed appropriately. -
Helping patients understand their insurance
Plans with $20,000 deductible in marketplace. -
Redesign links CMs, primary care
At WellSpan Health, teams that include hospital-based case managers and social workers, and health coaches located in physician offices, work together to coordinate care. -
Centers for Medicare and Medicaid Services New Interpretative Guidelines for the Conditions of Participation for Discharge Planning Part 2
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Is the two-midnight rule much ado about nothing?
2014 IPPS final rule emphasizes documentation, physician orders.