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Hospitals may consider abandoning their contracts. There are few things managed Medicare plans have come up with that are more unfair to hospitals than denials due to readmission. Hospitals with contracts with managed Medicare payers often must endure these denials, as they are not often excluded in contracts. Managed Medicare…
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Should hospitals combine two admissions into one? In the absence of CMS guidance, hospitals are urged to do the right thing.  Last week I wrote a confessional for RACmonitor eNews, Hospital Admissions: Combining Two into One Doesn’t Add Up, about how I had been advising hospitals incorrectly on billing a…