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Displaying records 1 to 20 out of 2924 results for "RISK ADJUSTMENT MODEL".
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SORT RESULTS BY: RELEVANCY | PUBLICATION DATE
Risk adjustment is central to pay for performance, whereby high-quality cost effective care can b
OCTOBER 28, 2015
JUSTCODING
Any discussion of therapy goals raises questions about the model that should be used. There is de
Medicare recently announced the creation of a new accountable care payment model, which asks prov
by Bob Markette With a new payment model set to take effect in less than six mon
When residents assist during brain or spine surgery, the risk of complication or death does not i
JULY 10, 2015
When residents assist during brain or spine surgery, the risk of complication or death does not
As payment models evolve for providers across the healthcare continuum, the focus must be on qual
An estimated 30% of Medicare payments are now tied to alternative payment models that reward the
A new risk model provides a simple and inexpensive way to determine whether acute myocardial infa
Last Tuesday, CMS announced a forthcoming model to expand its accountable care organization (ACO)
A governance operating model describes the structure, oversight responsibilities, and infrastruct
Phase III ERA EFT: CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC) and Remittance
Implement operating rules - Phase III ERA EFT: CORE 360 Uniform Use of Claim Adjustment
CMS finalizes shorter risk period for overpayments The Centers f
  CMS makes major revisions to RCS model, introduces new proposed Patient-Driven Payment Model
  New voluntary bundled payment model
JANUARY 12, 2018
by: Josh Poltilove Adjustments to Medicare’s home health payments und
Looking for a better way to gauge readmission risk? University of Texas (UT) researchers say they
The introduction of the Home Health Groupings Model (HHGM) into the proposed rule means preparing
  Medicare Advantage Value-Based Insurance Design Model refined
OCTOBER 7, 2016
  Advancing care coordination through episode payment models final rule
FEBRUARY 10, 2017
  CMS cancels two mandatory bundled-pay models
DECEMBER 8, 2017
  New voluntary bundled payment model announced
JANUARY 26, 2018
  New voluntary bundled payment model announced
FEBRUARY 14, 2018
  RCS-1 draft model calculation worksheet
  Two strategic responses to bundled payment models
AUGUST 9, 2018
The greatest risk of patients acquiring a C. diff infection didn’t come, surprisingly, when
JULY 12, 2018
Under CMS’ new payment model to be imple-mented October 1, 2019, the Patient-Driven Pay-men
OCTOBER 5, 2018
  Upcoming payment model advances CMS' Initiative to Reduce Avoidable Hospitalizations Among Nu
  Affordable Care Act payment model continues to improve care, lower costs
AUGUST 12, 2016
  Dementia Care Added to Medicare Advantage Value-Based Insurance Design Model
DECEMBER 22, 2016
  Patient-driven payment model, survey, and quality: Understanding MDS accuracy and what you ne
  SNF PPS final rule published, new payment model to begin October 1, 2019
AUGUST 3, 2018
DECEMBER 16, 2015
by Josh Poltilove Adjustments to Medicare’s home health payments under the
Although the new payment model does not value community-based referrals as well, I believe that c
Is it likely CMS will make any adjustments to the list of acceptable primary diagnosis co
CMS has finalized its plan to cancel four mandatory episode payment models for common cardiac and
  Reducing the risk of work-related injuries
  Modern Healthcare Risk Management
OCTOBER 9, 2015
The SNF value-based purchasing (VBP) program began adjusting Medicare payments a little over a ye
FEBRUARY 7, 2020
Many healthcare workers may be putting patients at risk by continuing to work when they have symp
JUNE 20, 2019
In a new HealthLeaders Media report, Population Health: Investing in a Risk-Based Future
OCTOBER 30, 2015
This measure is also a risk-adjusted measure, and it is derived from the following answers on the
You note that your agency is considering shifting away from a pay-per visit model for clinicians
Home health value-based purchasing is a separate rewards system. Under the new payment model it w
This free tool will provide your staff with guidelines to evaluate patients and assess their risk
APRIL 26, 2018
  Reducing the risk of litigation and negative survey outcomes by creating realistic expectatio
DECEMBER 11, 2015
  Medicare billing: A common compliance risk area
APRIL 15, 2016
  SNFs: Strategies to mitigate readmission and rehospitalization risk
  Reduce your audit risk: How to analyze the UB-04
NOVEMBER 17, 2017
  Counting patient steps predicts readmissions risk
DECEMBER 14, 2017
A homecare model started in the Dutch city of Almelo is turning heads in the U.S. for its innovat
SEPTEMBER 15, 2015
Many healthcare workers may be putting patients at risk by continuing to work when they have symp
JUNE 20, 2019
Many healthcare workers may be putting patients at risk by continuing to work when they have symp
JUNE 19, 2019
CMS is preparing to cancel four mandatory episode payment models for common cardiac and orthopedi
Last week, CMS announced the participants in a new model that bridges hospice and curative
The government should adjust Medicare payment policies to better support the type of
  SNF therapy contracts: Your risks and what you need to know Q&A
  Compliance and the UB-04: How to identify risk areas and analyze provider information
AUGUST 21, 2015
  These 7 readmission risks could prevent you from receiving SNF VBP incentive payments
NOVEMBER 2, 2018
A new CMS memo creates a definition of a ligature risk, a time frame for correcting them, and int
DECEMBER 19, 2017
SNF therapy contracts: Your risks and what you need to know Q&A
AUGUST 1, 2015
Hospitals are continually working to reduce the risk of patient suicide in their facilities, but
OCTOBER 26, 2017
Get back to basics and pinpoint what risk analysis, assessment, and management tr
A new interactive modeling tool developed by researchers at the University of North Caroli
AUGUST 7, 2014
The Federation of State Medical Boards (FSMB) last week announcd a completed draft of model legi
Advocates of the Nurse Licensure Compact hope that updated model legislation will encourage more
APRIL 28, 2016
 This week’s updates include a new ACO dialysis model, new Medicare utilization and pa
The idea behind CMS’ Comprehensive Care for Joint Replacement model is that payments for
Dear readers, We’re now several months into our new publishing model for
AUGUST 25, 2017
The odds of the home health industry avoiding the Home Health Groupings Model in 2019 have worsen
APRIL 9, 2014
JUSTCODING
  To fully understand where your organization's risks lie, you not only need to ha
Patients with high-risk behaviors pose a danger to healthcare staff and other patients and are di
DECEMBER 17, 2015
Payment adjustment for FY 2014 extended On June 16, CMS pos
The new memo creates a definition of a ligature risk, a time frame for correcting them, interim g
DECEMBER 14, 2017
A new scoring system can help organizations spot patients at high risk for respiratory problems a
AUGUST 25, 2015
CMS and Obamacare have increasingly been moving healthcare toward a more value-based model
Facility accused of failing to address workplace violence risks it had promised to remedy
AUGUST 17, 2017
by A.J. Plunkett (aplunkett@decisionhealth.com) Widespread ligature risk
DECEMBER 7, 2019
With healthcare complexity increasing daily, traditional models of delivering care fail to offer
DECEMBER 29, 2016
In 2033, medical education will involve sophisticated simulation models, high-tech screening tool
NOVEMBER 15, 2013
The recession elevated the attractiveness of home-based services more than any other model of sen
The Pioneer Accountable Care Organization model is paying off in savings, according to the Center
"We have been mentored by most of our role models to use a single tool for handling our emot
SEPTEMBER 8, 2017
Patients with high-risk behaviors pose a danger to healthcare staff and other patients and are di
MARCH 10, 2016
Looking to spot risks factors for mental illness or suicide? A new report shows that these proble
As if adjusting to a new culture isn’t difficult enough, foreign medical graduates (FMG) mu
MAY 30, 2014
Because there will be no adjustments in the HHRG after the RAP is sent, the reporting of therapy
Delaware, Kentucky, and Ohio had the the highest adjusted rates for all disciplinary actions take
 Because there will be no adjustments in the HHRG after the RAP is sent, the reporting of th
Additional extension of the payment adjustment for FY 2014 extended  
Additional extension of the payment adjustment for FY 2014  
A Leapfrog Group report found that hospitals need to improve high-risk surgery patient outcomes.
MARCH 17, 2015
The idea behind hand hygiene compliance efforts is to reduce the risk of infection in healthcare
FEBRUARY 17, 2015
A former employee at a Colorado hospital may have put thousands of patients at risk of disease af
FEBRUARY 25, 2016
Patients with high-risk behaviors pose a danger to healthcare staff and other patients and are di
FEBRUARY 18, 2016
“All residents appear to be at risk for sleep impairment and its effects on performance, an
JUNE 8, 2018
Thorough risk assessments and clear plans to mitigate danger to patients will be critical to sati
FEBRUARY 1, 2018
Earlier this week, I received a question regarding the need to do a risk assessment that would al
OCTOBER 13, 2016
Wishing you could weigh in on The Joint Commission’s expectations about suicide risk? You h
MARCH 29, 2018
Wishing you could weigh in on The Joint Commission’s expectations about suicide risk? You h
MARCH 27, 2018
NOVEMBER 20, 2013
JUSTCODING
Also, the best states for physicians, role models’ influenc
MAY 31, 2018
Risk Reduction Strategies Editor's Note:
FEBRUARY 15, 2016
You note that your claims-based is good, but risk-adjusted is not. And you wonder why they are so
by A.J. Plunkett (aplunkett@decisionhealth.com) Widespread ligature risk
JANUARY 12, 2020
1. It is the role of home health aides to look for risk factors that could contr
State medical boards across the country have drafted a model law that would make it much easier
CMS and Joint Commission are cracking down on potential ligature and self-harm risks A
NOVEMBER 1, 2017
It is commonly accepted that residents and fellows are at risk for burnout. To help prevent it, t
MARCH 15, 2019
A new set of tools was released last week to help protect patients from safety risks caused by he
APRIL 12, 2018
Be able to show a thorough risk assessment along with a plan for intervention if surveyors questi
MAY 1, 2018
SNF therapy contracts: Your risks and what you need to know
Hospitals face many challenges in regard to active shooter risk such as providing care to victim
JANUARY 5, 2017
It’s the role of home health aides to look for risk factors that could contribute to a fall
You note that the importance of OASIS-D item M1033 (Risk for hospitalization) increases even more
Medicare’s hospice payments, adjusted for inflation and other factors, would rise an estima
Risk: The record does not contain a legible signature with credential
DECEMBER 29, 2015
By Jennifer Thew, RN Nurses, both male and female, are at a higher risk of suicide
FEBRUARY 12, 2020
It's time for your organization to begin its risk assessment—do you know where your PHI is?
In a new blog post, The Joint Commission (TJC) clarified its new ligature risk requirements rega
DECEMBER 5, 2019
Hospitals have 60 days to fix ligature risks In December, CMS unveiled a new definition
APRIL 1, 2018
Earlier this year, Olympus Corp. announced a voluntary recall of its TJF-Q180V model duodenoscope
MAY 12, 2016
After a long period of anticipation, it looks as though CMS will incorporate ligature risk recomm
NOVEMBER 1, 2018
Some words of advice about conducting risk assessments at your facility Editor&rsqu
SEPTEMBER 28, 2017
SEPTEMBER 3, 2014
JUSTCODING
Which U.S. president once worked as a model, appearing on the cover of Cosmopolitan
Due to possible health risks, the U.S. Food and Drug Administration (FDA) recently proposed a ban
MARCH 24, 2016
While I have little doubt that we will yet again revisit the management of ligature risks and beh
MAY 16, 2019
“When you are unfamiliar with a topic being discussed on rounds, take the risk and ask abou
APRIL 20, 2018
While organizations should focus on performing regular risk assessments and analyses, there are a
Q: Our non-employed radiology group is being evaluated by its insurer from a risk and saf
In a new blog post, The Joint Commission (TJC) clarified its new ligature risk requirements regar
DECEMBER 12, 2019
Suicide prevention and ligature risk was a major topic at The Joint Commission (TJC)’s 2019
One of our nurses asked us what her legal risks are if something goes wrong when caring f
 A good water management plan begins with your facilities management team and a solid risk a
NOVEMBER 1, 2018
A good water management plan begins with your facilities management team and a solid risk assessm
NOVEMBER 1, 2018
A good water management plan begins with your facilities management team and a solid risk assessm
A good water management plan begins with your facilities management team and a solid risk assessm
by A.J. Plunkett (aplunkett@decisionhealth.com) Beyond ligature risk, th
DECEMBER 7, 2019
by A.J. Plunkett (aplunkett@decisionhealth.com) Beyond ligature risk, th
JANUARY 19, 2020
Q: How big of a problem is patient violence from high-risk patients?
APRIL 21, 2016
Q: How big of a problem is patient violence from high-risk patients?
APRIL 14, 2016
Medicare and commercial accountable care organization (ACO) models are not created alike.
FEBRUARY 21, 2017
In the never-ending pursuit of the effective management of risks associated with healthcare-acqui
APRIL 20, 2017
Password sharing is rampant among residents but it can put protected patient information at risk
JANUARY 19, 2018
A good water management plan begins with your facilities management team and a solid risk assessm
NOVEMBER 1, 2018
In response to the high risk of depression among physicians in training and the elevated r
APRIL 23, 2015