Part 3: The CMS Final Rule was not surprising at all. The Final Rule pulled back the curtain and provided valuable information for providers, and in this workshop, the physician-led experts at Corro Clinical will present how the Final Rule’s clarifications can help you solidify core elements of your payer strategy, contracts, and measures for accountability.
Two Midnight Rule
On-Demand: Navigating the Medicare Advantage Final Rule – Part 2
Part 2: Payers have a relentless pursuit of profit margin; meanwhile, most hospitals continue to operate in the red. Medicare Advantage and so-called “frictionless healthcare” are adding to the confusing ways payers behave, muddying the waters and masking denials. So, what can providers do about it? This workshop will present strategies that will help you get your house in order, hold accountabilities, enforce your rights, and escalate payer issues – all with the goal of changing payer behavior. Learn more about payer behaviors today evolving payer behaviors that are on the horizon.
On Demand: Navigating the Medicare Advantage Final Rule – Traditional Medicare rules DO apply (and have always)
Payers have a relentless pursuit of profit margin; meanwhile, most hospitals continue to operate in the red. Medicare Advantage and so-called “frictionless healthcare” are adding to the confusing ways payers behave, muddying the waters and masking denials. So, what can providers do about it? This workshop will present strategies that will help you get your house in order, hold accountabilities, enforce your rights, and escalate payer issues – all with the goal of changing payer behavior. Learn more about payer behaviors today evolving payer behaviors that are on the horizon.
Nuances Around the 2-Midnight Rule
Have you ever wondered...
On-Demand: Nuances Around the 2-Midnight Rule
Part 1Part 2Have you...
On-Demand: Savvy Sequencing Using the “Two or More” Guideline
You’re confident your team is doing it all it can to ensure appropriate reimbursement. You perform CDI reviews, diligently review mismatches, perform coding quality assurance reviews, and utilize prebill DRG optimization applications, but are you certain that your team uncovered all the revenue optimization opportunities? Join this session to learn more, ask questions, and engage with Angela Carmichael.
Savvy Sequencing Using the “Two or More” Guideline
You’re confident your team is doing it all it can to ensure appropriate reimbursement. You perform CDI reviews, diligently review mismatches, perform coding quality assurance reviews, and utilize prebill DRG optimization applications, but are you certain that your team uncovered all the revenue optimization opportunities? Join this session to learn more, ask questions, and engage with Angela Carmichael.
Prisma Health Recoups $12 Million in Lost Revenue
Prisma Health and Versalus Health team up to streamline Utilization Management During Covid-19 to ensure compliance and recoup $12 Million in lost revenue.
Medicare Advantage Plans and the Two-Midnight Rule
Versalus’ Dr. Jerilyn P. Morrissey discusses the Medicare Advantage Plans and the Two-Midnight Rule
Medical Necessity and the 2-Midnight Rule The Death of Level of Care
Transform Your Two-Midnight Rule Compliance Program
What Role Does PEPPER Play in Evaluating Short Stays Under the Two-Midnight Rule?
HFMA Garden State Focus Magazine: Two-Midnight Hospital Policy Creates Compliance and Revenue Integrity Risk for Hospitals
HFMA Garden State Focus...