Cut through the noise, find the signal: Intelligence for serious healthcare leaders
Hospital case management, utilization review, observation vs inpatient status, two-midnight rule, length-of-stay management from a payment standpoint
RAC MonitorTopic alignment 88
No matter how skilled your physician advisors and utilization management team may be, your patient status efforts will not succeed unless you actively educate the medical staff. Under the Code of Federal Regulations, Title 42, Chapter IV, Subchapter B, Part…
RAC MonitorTopic alignment 88
Hospitals closely monitor observation utilization, observation length of stay, avoidable days, and discharge delays. What is less visible is the uncompensated care delivered to patients who do not need (or no longer need) outpatient hospital-level treatment,…