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Displaying records 1 to 20 out of 2540 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
A new risk model provides a simple and inexpensive way to determine whether acute myocardial infa
An estimated 30% of Medicare payments are now tied to alternative payment models that reward the
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
Inpatient coders are familiar with risk-adjusted methodologies—where a combination o
NOVEMBER 12, 2014
JUSTCODING
Implement operating rules - Phase III ERA EFT: CORE 360 Uniform Use of Claim Adjustment
Phase III ERA EFT: CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC) and Remittance
CMS finalizes shorter risk period for overpayments The Centers f
  New voluntary bundled payment model
JANUARY 12, 2018
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
Under CMS’ new payment model to be imple-mented October 1, 2019, the Patient-Driven Pay-men
OCTOBER 5, 2018
DECEMBER 16, 2015
  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
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
  Reducing the risk of work-related injuries
  Modern Healthcare Risk Management
OCTOBER 9, 2015
CMS has finalized its plan to cancel four mandatory episode payment models for common cardiac and
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
  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
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
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 19, 2019
Many healthcare workers may be putting patients at risk by continuing to work when they have symp
JUNE 20, 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
  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
Upcoming webcast! SNF Therapy Contracts: Implementing a Shared Risk Arrangement to Reduce
JANUARY 23, 2015
Hospitals are continually working to reduce the risk of patient suicide in their facilities, but
OCTOBER 26, 2017
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
AUGUST 1, 2015
Get back to basics and pinpoint what risk analysis, assessment, and management tr
  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
Patients with high-risk behaviors pose a danger to healthcare staff and other patients and are di
DECEMBER 23, 2015
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
On April 1, CMS launched the Comprehensive Care for Joint Replacement Model (CJR)-- a major step
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
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
Payment adjustment for FY 2014 extended On June 16, CMS pos
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
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
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
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
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
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  
Risk Reduction Strategies Editor's Note:
FEBRUARY 15, 2016
NOVEMBER 20, 2013
JUSTCODING
1. It is the role of home health aides to look for risk factors that could contr
CMS and Joint Commission are cracking down on potential ligature and self-harm risks A
NOVEMBER 1, 2017
You note that your claims-based is good, but risk-adjusted is not. And you wonder why they are so
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
State medical boards across the country have drafted a model law that would make it much easier
It is commonly accepted that residents and fellows are at risk for burnout. To help prevent it, t
MARCH 15, 2019
Risk: The record does not contain a legible signature with credential
DECEMBER 29, 2015
You note that the importance of OASIS-D item M1033 (Risk for hospitalization) increases even more
It's time for your organization to begin its risk assessment—do you know where your PHI is?
JANUARY 28, 2015
JUSTCODING
Medicare’s hospice payments, adjusted for inflation and other factors, would rise an estima
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
Earlier this year, Olympus Corp. announced a voluntary recall of its TJF-Q180V model duodenoscope
MAY 12, 2016
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
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
Which U.S. president once worked as a model, appearing on the cover of Cosmopolitan
SEPTEMBER 3, 2014
JUSTCODING
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 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
Q: How big of a problem is patient violence from high-risk patients?
APRIL 14, 2016
Q: How big of a problem is patient violence from high-risk patients?
APRIL 21, 2016
Want to reduce readmissions? Focus your attention on patients with specific risk factors, such as
SEPTEMBER 8, 2015
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
Medicare and commercial accountable care organization (ACO) models are not created alike.
FEBRUARY 21, 2017
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
Hospitals face many challenges in regard to active shooter risk such as providing care to victim
1. Which of the following is not a main risk factor for developing kidney disease, as discussed i
A nurse should be skilled in cutting toenails, but because of the increased risk of liability if
This past summer, a spotlight was shone on the risks posed by Legionella. The bacterium
A new Los Angeles Times report alleges that device maker Olympus Corp. knew about the risk of inf
DECEMBER 30, 2015
Proposed legislation that would allow advance practice nurses to practice independently risks pa
A new study suggests that anesthesiologists may be putting patients at risk for infections b
JULY 9, 2014
Nurses are at greater risk than firefighters. In 2013 your nursing staff faced a 15% greater cha
FEBRUARY 23, 2015
Obtaining informed consent—a patient’s understanding of the risks and alternatives to
FEBRUARY 17, 2017
A hospital in Missouri at risk of losing its Medicare funding within the month installed an inter
SEPTEMBER 13, 2017
Revisions outline a more straightforward approach to mitigate patient safety risks
JANUARY 13, 2016