Amerihealth 5 Day Readmission Policy

Listing Websites about Amerihealth 5 Day Readmission Policy

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AmeriHealth Medical Policies

(1 days ago) amerihealth.comhttps://medpolicy.amerihealth.com/ah/Commercial/AmeriHealth Medical PoliciesWEBMultiple readmissions under the 5-day readmission provision consist of two or more unplanned inpatient acute care hospital admissions within five days of discharge from the most recent inpatient hospital date of discharge and are for a condition related to the …

https://medpolicy.amerihealth.com/ah/Commercial/Pages/Policy/638aff19-f5cb-42b5-bed2-882b4ced3392.aspx#:~:text=Readmission%20within%20five%20days%20of%20discharge%2C%20for%20the,category%20%5BMDC%5D%2C%20post-operative%20infection%2C%20sepsis%2C%20or%20complication%20diagnosis%29.

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Reimbursement Policy - Amerigroup

(9 days ago) WEBreadmission days updated and Washington exemption added, effective 07/01/14 Initial approval 03/25/13 and effective date References and Research Materials This policy …

https://provider.amerigroup.com/dam/publicdocuments/ALL_RP_InpatientReadmissions.pdf?v=202011222330

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Preventing Avoidable Readmissions - AmeriHealth Caritas …

(5 days ago) WEBContact the AmeriHealth Caritas Pennsylvania Complex Care Management Team at 1-877-693-8271, option 2, for assistance with outreach for non-compliant members. …

https://www.amerihealthcaritaspa.com/provider/initiatives/avoidable-readmissions.aspx

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Medicaid Reimbursement Policy Overview - AmeriHealth …

(8 days ago) WEBMedicaid Reimbursement Policy Overview. Payment Policy ID: RPC.0001.7700. Recent review date: 11/2022. Next review date: 11/2023. AmeriHealth Caritas Ohio Family of …

https://www.amerihealthcaritasoh.com/assets/pdf/provider/policies/medicaid-reimbursement-policy-overview.pdf

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Staying Healthy After Your Hospital Stay - AmeriHealth Caritas Ohio

(6 days ago) WEBThe Health Advice Line is open 24 hours a day, seven days a week. Rapid Response and Outreach Team (RROT): 1-833-464-7768 (TTY 1- 833-889-6446). The RROT can help …

https://www.amerihealthcaritasoh.com/member/eng/getting-care/staying-healthy-after-hospital.aspx

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AmeriHealth Medical Policies

(2 days ago) WEBDescription. Observation services involve the use of a bed and periodic monitoring by the facility's nursing or other ancillary staff in order to evaluate and treat an individual's …

https://medpolicy.amerihealth.com/ah/Commercial/Pages/Policy/53c61104-2d36-4c40-90e4-da66ec5d76a1.aspx

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Hospital Readmissions - First Choice VIP Care

(6 days ago) WEBThis is called a readmission. Skip to Main content. Menu. Renew; Enroll. Enroll 2024 homepage; Summary of benefits; Understanding Medicare; Who we are; Who is …

https://memberportal.amerihealthcaritas.com/member/eng/2024/hospital-readmissions.aspx

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AmeriHealth Medical Policies

(3 days ago) WEBMedical Policy. Medical policy bulletins are the Company’s communications to providers, members, and Company associates describing the Company’s coverage position on …

https://medpolicy.amerihealth.com/ah/Commercial/Pages/Policy-Types-Description.aspx

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AmeriHealth Medical Policies

(4 days ago) WEBWithdrawal of Advance Notification of Future Policy #00.10.41i: Telemedicine Services Scheduled to Become Effective 10/1/2021 for AmeriHealth Members. …

https://medpolicy.amerihealth.com/ah/Commercial/Pages/Site-Activity-View.aspx?FilterField1=MPSiteActivityLogMonth&FilterValue1=09&FilterField2=MPSiteActivityLogYear&FilterValue2=2021

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AmeriHealth Medical Policies

(9 days ago) WEBAlloMap™ Molecular Expression Testing for Heart Transplant Rejection (AmeriHealth Administrators) AlloMap™ Molecular Expression Testing for Heart Transplant Rejection …

https://medpolicy.amerihealth.com/ah/Commercial/Pages/Policy-Bulletin-View.aspx

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Policies AmeriHealth Caritas Ohio

(9 days ago) WEBPolicies. These guidelines are comprised of evidence-based research and professional standards; they are intended to guide providers in the treatment of AmeriHealth Caritas …

https://www.amerihealthcaritasoh.com/provider/resources/policies.aspx

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Medical necessity criteria Resources AmeriHealth

(9 days ago) WEBMedical necessity criteria. Our registered nurses (Care Management Coordinators) use McKesson’s InterQual criteria as their main source of decision support. AmeriHealth …

https://www.amerihealth.com/providers/policies_guidelines/medical_necessity_criteria.html

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Leaving the Hospital AmeriHealth Caritas Pennsylvania …

(3 days ago) WEBBut, sometimes, people end up back in the hospital soon after they leave. This is called a readmission. Readmissions can happen for a lot of reasons. By taking some simple …

https://www.amerihealthcaritaschc.com/Participants/eng/getting-care/leaving-the-hospital.aspx

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Clinical Services – Utilization Management 6

(2 days ago) WEBreview of Medical Necessity, and the AmeriHealth New Jersey criteria, which requires that the treatment and/or procedures include at least eight hours of observation.* …

https://provcomm.amerihealth.com/pnc-ah/Manuals/Hospital_NJ/AH_NJ_Hospital_06_Clinical-Services-UM.pdf

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2024 Provider Manual - AmeriHealth Caritas District of Columbia

(Just Now) WEBAmeriHealth Caritas DC offers two products in the District, a Medicaid product (for beneficiaries of the D.C. Healthy Families Program) and an Alliance product (for …

https://www.amerihealthcaritasdc.com/pdf/provider/manual.pdf

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Clinical policies - AmeriHealth Caritas District of Columbia

(8 days ago) WEBAmeriHealth Caritas District of Columbia is dedicated to providing the most comprehensive, outcomes-driven health solutions for our enrollees. Part of this …

https://www.amerihealthcaritasdc.com/provider/resources/clinical/policies.aspx

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Integrated Health Care Management - AmeriHealth Caritas Ohio

(6 days ago) WEBConducting outreach activities. Conducting Health Risk Assessments (HRAs) and Social Determinant of Health screenings. Providing care coordination support to address …

https://www.amerihealthcaritasoh.com/provider/resources/integrated-care.aspx

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Reimbursement Policy - Amerigroup

(Just Now) WEBhave been identified as a readmission to the same hospital for the same, similar or related condition unless provider, District, federal or CMS contracts and/or requirements …

https://provider.amerigroup.com/dam/publicdocuments/DCDC_CAID_RP_InpatientReadmissions.pdf

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Clinical Policies - AmeriHealth Caritas Pennsylvania

(8 days ago) WEBPercutaneous sacroplasty PDF. Peripheral nerve stimulators for chronic nerve pain PDF. Peristeen® anal irrigation system PDF. Peroral endoscopic myotomy PDF. …

https://www.amerihealthcaritaspa.com/provider/resources/clinical/policies.aspx

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Standard and Expedited Benefit Determinations AmeriHealth …

(2 days ago) WEBIn accordance with 42 C.F.R. § 438.404(c)(1), if the Plan intends to take an action to terminate, suspend, or reduce previously authorized Medicaid-covered services, …

https://www.amerihealthcaritasoh.com/provider/resources/benefit-determination.aspx

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Electronic Health Records (EHR) American Medical Association

(1 days ago) WEBAn electronic health record (EHR) digitizes a patient’s paper chart. It collects the patient’s history of conditions, tests and treatments and can be used to create a …

https://www.ama-assn.org/topics/electronic-health-records-ehr

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Home-recovery program leads to 44% reduction in readmission rate

(Just Now) WEBDr. Gudibanda shared some of the program’s outstanding results, including: More than 90% patient-satisfaction rate. 44% reduction in readmission rate. 35% drop …

https://www.ama-assn.org/practice-management/digital/home-recovery-program-leads-44-reduction-readmission-rate

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Clinical Case Manager DE LTSS (New Castle County Delaware)

(3 days ago) WEBAt AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we …

https://www.careerbuilder.com/job/J3N6VN5Y4N7HKGHGNFQ

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House committee adopts amendment to rehire troops fired for …

(4 days ago) WEBThe House Armed Services Committee on Wednesday adopted an amendment to the annual defense policy bill that would push the Department of …

https://thehill.com/policy/defense/4680513-house-armed-services-committee-ndaa-amendment-re-hire-troops-fired-covid-vaccine/

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HR Pharma DBA HR Healthcare 281020543 - McKesson Medical …

(8 days ago) WEBBacteriostatic. ,for, Item ID-. #1050804. Providers like you icon467. HR Pharma DBA HR Healthcare #281020545. Lubricating Jelly - Carbomer free Surgilube® 5 Gram Individual …

https://mms.mckesson.com/product/1009103/HR-Pharma-DBA-HR-Healthcare-281020543

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