United Healthcare Readmission Guidelines

Listing Websites about United Healthcare Readmission Guidelines

Inpatient Readmission Review Policy, Facility - UHCprovider.com

(2 days ago) WEBUnitedHealthcare will align with the Centers for Medicare and Medicaid Services (CMS) criteria by utilizing the CMS guidelines to evaluate Same Day Readmissions, Planned Readmissions and Leave of Absence. Medical records may be requested to ensure the …

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-reimbursement/COMM-Inpatient-Readmission-Review-Policy-Facility.pdf

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Medical & Reimbursement Policies - UnitedHealthcare

(7 days ago) WEBMedical & Reimbursement Policies. The information at the links below is intended for use by those that provide health care services to members. Our Medical & Drug Policies and …

https://prod.member.myuhc.com/content/myuhc/en/secure/benefits-coverage/medical-reimbursement-policies.html

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Readmission to the hospital: common, complex and time for a re …

(3 days ago) WEBMedicare readmissions policies and racial and ethnic health disparities: A cautionary tale. Policy, Politics & Nursing Practice, 11 (4), 309–316. 10.1177/1527154411398490 [PMC …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8808566/

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Preventing 30-day hospital readmissions: a systematic review and …

(3 days ago) WEBThe five trials reporting number of readmissions (rather than number of patients with readmissions) had a pooled relative risk of readmission of 0.93, 95% CI 0.72 to 1.20, I …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4249925/

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Readmissions, Observation, and the Hospital Readmissions …

(1 days ago) WEBWe analyzed data from 3387 hospitals. From 2007 to 2015, readmission rates for targeted conditions declined from 21.5% to 17.8%, and rates for nontargeted …

https://www.nejm.org/doi/full/10.1056/NEJMsa1513024

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The Hospital Readmissions Reduction Program — Time for a Reboot

(3 days ago) WEBAbstract. The Hospital Readmissions Reduction Program (HRRP) was established by the Centers for Medicare and Medicaid Services (CMS) in 2010 with a …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6589834/

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Hosp. Readmission Reduction CMS

(9 days ago) WEBHRRP, along with the Hospital Value Based Purchasing (Hospital VBP) and Hospital-Acquired Condition (HAC) Reduction Programs, is a major part of how we add quality …

https://www.cms.gov/medicare/quality/value-based-programs/hospital-readmissions

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Managing the 30-Day Readmissions Window - HFMA

(7 days ago) WEBAvoiding hospital readmissions while ensuring patient safety and high-quality care is a critical concern for hospitals. To do so, hospitals must effectively …

https://www.hfma.org/legal-and-regulatory-compliance/medicare-compliance-rac-oig/61840/

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2023 Hospital-Wide All-Cause Unplanned Readmission Measure

(5 days ago) WEBA federal government website managed and paid for by the U.S Centers for Medicare & Medicaid Services. 7500 Security Boulevard, Baltimore MD 21244. Provides details on …

https://qpp.cms.gov/resources/document/fab5e228-1667-4e8f-9b49-ea04fb3cfd81

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Hospital Readmissions From the Emergency Department After

(8 days ago) WEBKey Points. Question Is Medicare’s Hospital Readmissions Reduction Program associated with changes in the probability of readmission for discharged …

https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2765280

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Clinical Guidelines UHCprovider.com

(4 days ago) WEBUnitedHealthcare uses evidence-based clinical guidelines from nationally recognized sources during review of our quality and health management programs. …

https://www.uhcprovider.com/en/policies-protocols/clinical-guidelines.html

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Reducing Hospital Readmission: Current Strategies and Future …

(3 days ago) WEBPrevalence of Hospital Readmission. Though readmission rates in the United States have been high for many years, Jencks and colleagues brought this issue to the …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4104507/

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Hospital Readmissions Reduction Program (HRRP) CMS

(9 days ago) WEBThe Hospital Readmissions Reduction Program (HRRP) is a Medicare value-based purchasing program that, for example, encourages hospitals to improve communication …

https://www.cms.gov/medicare/payment/prospective-payment-systems/acute-inpatient-pps/hospital-readmissions-reduction-program-hrrp

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Guide for Reducing Disparities in Readmissions - Centers for …

(9 days ago) WEBThis. Guide for Reducing Disparities in Readmissions. is a resource for health care practitioners, leaders, and community partners focused on quality, safety, and care …

https://www.cms.gov/About-CMS/Agency-Information/OMH/Downloads/OMH_Readmissions_Guide.pdf

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Medicare's Hospital Readmission Reduction Program FAQ ACEP

(5 days ago) WEBSpecific coding or payment-related issues should be directed to the payer. For information about this FAQ/Pearl, or to provide feedback, please contact David A. McKenzie, ACEP …

https://www.acep.org/administration/reimbursement/reimbursement-faqs/hospital-readmissions-faq/

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A Decade of Observing the Hospital Readmission Reductions …

(8 days ago) WEBThe Hospital Readmission Reductions Program (HRRP), a national value-based program that aimed to incentivize improvements in care delivery by penalizing …

https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2798623

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