OIG Admits its Own Error Rate

The OIG claimed that 71 of 333 inpatient claims did not meet Medicare criteria for inpatient status. A recent report, titled “CMS Can Use OIG

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Making Meaning out of Avoidable Days

Avoidable days can impact patient care and social determinants of health (SDoH). I always love working in the hospital with my fellow case managers, because

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Inpatient vs Outpatient: The Debate Continues

Observation volumes continue to stress hospitals.                              The utilization process is very difficult and complicated. We must continue to advocate for our elders and

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Inpatient-Only List Continues to Roil Physicians

Summary highlights from the ACPA’s NPAC 2021 conference: “Advising in an Unconventional World.” The Centers for Medicare & Medicaid Services (CMS) continues to create confusion

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