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Reengineering Utilization Management: Building an Adaptive Model for the New Payer Era " Med Learn Publishing
15+ hour, 13+ min ago (138+ words) There are no continuing education credits (CEUs) for this product. 5874 Blackshire Path, #13 Inver Grove Heights, MN 55076 Struggling with denials and lost revenue? Refresh your coding resources now'get 50% off all 2025 coding books with code'CO2025'through July 2! BLOOM INTO SAVINGS! Get 25% OFF…...
The Medicaid SDP "False Plateau:" Why Hospitals May See a Surge Before the Cliff " Med Learn Publishing
6+ day, 17+ hour ago (496+ words) In short, the SDP era is not ending quietly. It is entering what may best be described as a "false plateau." For hospitals, this creates an unexpected dynamic. Rather than an immediate reduction in supplemental payments, many organizations (particularly in…...
Tracking Underpayments " Med Learn Publishing
2+ week, 12+ hour ago (603+ words) I am not a proponent of measuring the impact of clinical documentation integrity (CDI) departments by case mix index (CMI) or complication/comorbidity capture rates (CCs/MCCs). Reliance on these metrics may cause a hospital to miss the impact of a growing…...