Review Dr. Zelem's latest article on RACMonitor, https://racmonitor.com/occurrence-span-code-72-what-is-it/ regarding Livanta's award of short-stay audits and how occurrence span code 72 may ensure you are prepared with appropriate documentation and coding.

An examination and account on the continued difficulties of staffing and leadership during COVID times.

Check out our latest article on RACMonitor regarding Condition Code 44s at https://racmonitor.com/condition-code-44-how-many-should-you-have/. Also make sure to check out Dr. Juliet Ugarte Hopkins article “Deconstructing the Concept of Condition Code 44,” which includes a complete history and best model approach to the Condition Code 44 process.

Check out our recent posting on RacMonitor, https://racmonitor.com/gaining-a-better-understanding-of-continued-stay-reviews/, to obtain a better understanding of continued stay reviews. What are they really for?

Case management can be explained as the hub of the wheel that connects all disciplines to the patient with its primary spoke being the physician.

Learn how to prepare for the No Surprise Act, article published on RACMonitor, https://racmonitor.com/understanding-the-surprises-in-the-no-surprises-act/

Right time, right place, right setting…. well maybe. In UHC’s network bulletin ….that was quickly retracted and held for delay after the AHA and AMA expressed extreme ethical concerns.

Catch the official report on RACMonitor’s Monitor Monday podcast! Last week Johns Hopkins University released an interesting report to Axios that highlighted the top 100 US hospitals that have accrued revenue by suing patients over unpaid medical bills between January 2018 to July 2020.

A comprehensive care management program can be costly and often not justified with past payment models. However, the PCF model provides a solution for this by offering up-front, partially capitated payments to allow for funding this foundational program.

Check out Phoenix Medical Management's latest contribution to the Report on Medicare Compliance regarding all things associated with the Medicare forms.

Review the new provisions and how to participate in the Hospital at Home program. This article published for RACmonitor, https://www.racmonitor.com/understanding-hospital-at-home describes how this program can help in a FFS and value based world.

Phoenix Medical Management was able to participate with a small group of experts to discuss how to evaluate and improve the CDI world. Jim shares his white-paper on how an outsiders prospective for process improvement can be applied to clinical documentation integrity.

The isolation and experience of COVID is something that will unite us all as something we will never forget. Marie shares her accounts while hospitals were on lock down, what leading a case management program was like.

This is a good time to ensure you are ready for CMS to walk through the hospital doors.

Many case management departments will allow post acute providers to support the discharge process in order to gain referrals. However, this comes at a big risk.

The OIG found a 20% increase in the number of stays for the highest severity level, nearly accounting for half of all Medicare inpatient spending. At the same time, the average length of stay decreased for these high severity stays.

Hospitals can alleviate the difficulty of rework by having experts at all entry points into the hospital, and by deploying a front-end revenue cycle team, which also can function as a strong gatekeeper.

On January 12, 2021, Taylor & Francis, published in the Journal of Hospital Practice, the Impact of a hospital unit-based leadership triad on key performance metrics.

Readmissions affect 18.2 percent of Medicare beneficiaries. Article originally posted on RACMonitor at https://www.racmonitor.com/understanding-your-readmissions-how-to-reduce-penalties