Transitional Care Management (TCM) is the management of patient transitions between settings of care, including the transition back home. This article outlines the key components, goals, and impact of adequate transitional care. To provide a more comprehensive answer...
The costs of hospital readmissions are a major topic of concern in the healthcare industry, impacting a hospital’s quality of care as well as their financial health. As value-based reimbursement models begin to replace fee-for-service, developing a strategy to reduce...
Hospital readmissions continue to be a significant patient-safety issue that plagues the healthcare industry. Despite the U.S. Centers for Medicare & Medicaid Services (CMS) implementation of the Hospital Readmissions Reduction Program (HRRP) in 2012, the 30-day...
Claims data is created each time a patient covered by an active health insurance plan visits a healthcare provider. After the visit, the provider will submit a summary of services rendered to the patient’s payer for reimbursement, and that information forms part of...
Reducing hospital readmissions has been a major goal in healthcare for the past decade. In 2012, the Affordable Care Act (ACA) included a provision called the Hospital Readmission Reduction Program to incentivize hospitals to reduce readmissions. A readmission or...
