Getting on Board
CMS

Getting on Board- the Problem with ED Boarding

Understanding precisely what the phenomenon of “ED boarding” means is vital to managing proper placement of patients. I was recently asked by Christine in Minnesota the following question: “our billers think the ED patient has to stay past midnight to be an ED boarder; is

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CMS Sets Sights on MA Plans
CMS

CMS Sets Sights on MA Plans

The federal agency announced this week that it has updated its policies for the MA RADV program. Echoing an intensifying drumbeat of criticism heard from

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A Call to Order
Appeal

A Call to Order

Inpatient admission orders don’t necessarily have to be written. Last month, I participated in a webinar about the Two-Midnight Rule for the Association for Healthcare

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Will Auditors Abide by CMS Rules?
Appeal

Will Auditors Abide by CMS Rules?

CMS issued the Program Audit Process that sets forth rules auditors must abide by in 2023. The 2023 Program Audit Process Overview from the Centers

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