Managed Resources’ Post

Denial challenges continue to escalate for providers. Having a robust #denialmanagement and prevention program (including education) is more crucial than ever to #hospitalrevenuecycle operations. Read the report on ever rising inpatient claim denials, via Becker's:https://hubs.la/Q02yJpWJ0 #managedresources #codingaid #clinicalappeals

CMS pitches inpatient payment rule for 2025: 8 things to know https://hubs.li/Q02t43Hl0

Dive into the 2024 Inpatient Rulemaking where CMS's focus on #HealthEquity includes 15 new hospital categorizations for payment impacts, updated ICD-10-CM codes, and revamped VBP and IQR programs: https://lnkd.in/eh5JFPG4

Medical procedures can drain our finances, so it is best to look at all cost-saving options. ASCs are a safe and cost-effective option that delivers high-quality patient care. Use this tool from Centers for Medicare & Medicaid Services to compare average prices for procedures in ASCs and hospital outpatient departments: https://bit.ly/36wXoC5

CMS announced the Transforming Episode Accountability Model (TEAM) on April 10, 2024. This proposed mandatory model will provide episode-based payments for five types of surgical procedures for five years. TEAM aims to hold hospitals accountable for the quality, cost, and outcomes of care for Medicare beneficiaries undergoing certain high-cost and high-volume surgical procedures in both inpatient and outpatient settings. CMS will determine which acute care hospitals will participate in the model based on selected geographic regions and is currently soliciting feedback until June 10, 2024. Learn more in this article by Georgia Green, MS, CHFP and Pat Oungpasuk from Moss Adams.

CMS announced the Transforming Episode Accountability Model (TEAM) on April 10, 2024. This proposed mandatory model will provide episode-based payments for five types of surgical procedures for five years. TEAM aims to hold hospitals accountable for the quality, cost, and outcomes of care for Medicare beneficiaries undergoing certain high-cost and high-volume surgical procedures in both inpatient and outpatient settings. CMS will determine which acute care hospitals will participate in the model based on selected geographic regions and is currently soliciting feedback until June 10, 2024. Learn more in this article by Georgia Green, MS, CHFP and Pat Oungpasuk from Moss Adams.

CMS announced the Transforming Episode Accountability Model (TEAM) on April 10, 2024. This proposed mandatory model will provide episode-based payments for five types of surgical procedures for five years. TEAM aims to hold hospitals accountable for the quality, cost, and outcomes of care for Medicare beneficiaries undergoing certain high-cost and high-volume surgical procedures in both inpatient and outpatient settings. CMS will determine which acute care hospitals will participate in the model based on selected geographic regions and is currently soliciting feedback until June 10, 2024. Learn more in this article by Georgia Green, MS, CHFP and Pat Oungpasuk from Moss Adams.

📢🏥 Understanding Outpatient and Inpatient Services! 🌟 Outpatient services refer to medical treatments or procedures that do not require a hospital stay. These can include visits to the doctor's office, diagnostic tests, or minor surgeries. With outpatient care, you typically visit a healthcare facility and return home the same day. On the other hand, inpatient services involve hospital stays for more extensive treatments or surgeries. Inpatient care may include overnight stays, room and board fees, and round-the-clock medical supervision. These services are often necessary for more complex procedures or conditions that require continuous monitoring and care. It is important to understand the difference between outpatient and hospital benefits, as they affect coverage and deductibles. Be sure to check the policy to see what services are covered and what costs are covered. If you have questions or need guidance regarding your insurance coverage for outpatient or inpatient services, Diana Reeves Agency can help you figure it out. We're here to help you navigate the complexities of healthcare and insurance with ease. #OutpatientServices #InpatientServices #InsuranceCoverage #DianaReevesAgency #healthinsuranceservicesHouston

📢🏥 Understanding Outpatient and Inpatient Services! 🌟 Outpatient services refer to medical treatments or procedures that do not require a hospital stay. These can include visits to the doctor's office, diagnostic tests, or minor surgeries. With outpatient care, you typically visit a healthcare facility and return home the same day. On the other hand, inpatient services involve hospital stays for more extensive treatments or surgeries. Inpatient care may include overnight stays, room and board fees, and round-the-clock medical supervision. These services are often necessary for more complex procedures or conditions that require continuous monitoring and care. It is important to understand the difference between outpatient and hospital benefits, as they affect coverage and deductibles. Be sure to check the policy to see what services are covered and what costs are covered. If you have questions or need guidance regarding your insurance coverage for outpatient or inpatient services, Diana Reeves Agency can help you figure it out. We're here to help you navigate the complexities of healthcare and insurance with ease. #OutpatientServices #InpatientServices #InsuranceCoverage #DianaReevesAgency #healthinsuranceservicesHouston

CMS announced the Transforming Episode Accountability Model (TEAM) on April 10, 2024. This proposed mandatory model will provide episode-based payments for five types of surgical procedures for five years. TEAM aims to hold hospitals accountable for the quality, cost, and outcomes of care for Medicare beneficiaries undergoing certain high-cost and high-volume surgical procedures in both inpatient and outpatient settings. CMS will determine which acute care hospitals will participate in the model based on selected geographic regions and is currently soliciting feedback until June 10, 2024. Learn more in this article by Georgia Green, MS, CHFP and Pat Oungpasuk from Moss Adams.