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Utilization Management: The Importance of a Comprehensive Program

2023-05-01T14:39:19-05:00Categories: Blog, Health System|Tags: , , |

Learn the importance of a comprehensive Utilization Management process and the benefits including a decrease in denials, improved revenue and more.

New Exclusions for Home Health QRP

2023-03-02T17:13:53-05:00Categories: Blog, Home Health|Tags: , , , |

The Centers for Medicare & Medicaid Services (CMS) released an update to the HH QRP, the first update since the release of the Version 1.0 Addendum in October 2020. Review the recent update to the HH QRP, including additions, deletions, corrections to language and clarifications.

Overcoming Denials and Appeals with these 5 Action Items

2023-03-07T19:21:44-05:00Categories: Blog, Health System|Tags: , |

There are many different factors that can lead to rising audits and denials within any healthcare organization. Even when all the boxes seem to be checked, denials continue to rise. Take these five action items to expedite the appeals when faced with growing denials within your hospital or health system.

A Guide to Success in OASIS-E

2023-05-22T14:06:02-05:00Categories: Blog, Home Health|Tags: , , |

In the CY 2023 Home Health Final Rule, the Centers for Medicare and Medicaid (CMS) finalized the implementation of OASIS-E, going into effect January 1, 2023. With the countdown on, it is critical for organizations to educate their staff on the key elements and changes to come.

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