Sun.Apr 17, 2022

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Stay out of Jail; Avoid billing fraud

Pro CRNA

Stay out of jail; Avoid billing fraud. By Thomas Davis, DNAP, MAE, CRNA. Nobody goes through the rigors of professional education and certification intending to end up in jail, but that is exactly where you could spend time if convicted of billing fraud. Whether you plot, plan, and intentionally defraud the payor or you are unintentionally complicit with a scheme, you could face incarceration and a hefty fine.

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Proposed Payment Rules for Other Settings Forecast Home Health Trouble

Home Health Care

Home health operators are still several weeks away from getting a glimpse at the proposed payment rule for 2023. Even so, they’re beginning to see signs of concern that they’ll not be getting an inflation-adjusted rate. Because of workforce investments, more expensive supplies and the overall cost increase of goods and services in the U.S., including the price of gasoline, it has gotten more expensive for home health agencies to stay in business.

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Is Empathy The Key to Healthcare Collections in 2022?

HIT Consultant

Jada Lewis, Director of Healthcare Product Management at Finvi. As we enter into the third year of the global health emergency, the impact on healthcare continues to evolve. With the ever-changing landscape, comes an opportunity to reflect, learn, and adapt to the times. Throughout the pandemic, COVID-19’s impact on hospital entities has not been specific to clinical care – it has rippled through the institution to every level, including revenue cycle management (RCM). .

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Help at Home Enters New York, Adding 10,050 Clients, 12,000 Employees

Home Health Care

One of the larger home care organizations in the U.S., Help at Home, has made a significant leap in expanding its reach. The company announced last week that it’s entering into New York – a state it had previously not been in – with the acquisitions of Edison Home Health Care and Preferred Home Care of New York. . Between the two agencies, Help at Home will gain 10,500 new clients, 12,000 new employees and a geographic footprint in at least 55 New York counties.

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How to Battle Layoffs: The Career Star Accelerator Bootcamp

Facing layoffs in your organization? Support your team members' career transition with Career Star Accelerator Bootcamp: Custom Resume & LinkedIn Revamp + 6 Weeks of Career Coaching. Our certified resume writers will create job search-winning resumes and LinkedIn profiles while they work with a career coach to learn unique strategies to stand out, attract the right employers, automate their job search, and land their dream job.

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Impact of the DRG system on hospital length of stay

Healthcare ECONOMIST

In many countries including the US and England, hospitals are paid by payers (i.e., commercial insurers and governments) on a per-admission basis with more reimbursement for treating patients with more severe conditions and lower reimbursement for treating patients with less severe conditions. This system is known in the U.S. as the diagnosis-related group (DRG) system, since DRGs are used to assess admission severity and also hospital reimbursement levels.

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Monday Morning Update 4/18/22

HIStalk

Top News A JAMA-published study finds that sending warning emails.

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