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Delay in CMS Data Raises New Accuracy Concerns

As providers strive to reduce readmission and value based payment penalties, new attention may be drawn to the accuracy of the calculations that determined the penalties. According to a recent article by ProPublica, the long-awaited release of “Analysis of 2014 Medicare Advantage Encounter Data” was unexpectedly cancelled with the explanation being “to determine if it…
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Zero readmissions can hinder SNFs in new VBP program

According to the latest “Proposed Rounding Clarification for SNF VBP Scoring”, an analysis of the historical Skilled Nursing Facility 30-Day All-Cause Readmission Measure data found that a small number of facilities had zero readmissions during the applicable performance period. While the exemplary outcome should be viewed as a remarkable achievement, attaining this benchmark during the…
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Centralize Discharge Calls Continue to Produce Results

In October we reported that Orange Regional Medical Center awarded Nexus Health Resources two quality awards for assisting in reducing hospital readmission by more than 50%. Our partnership has remained strong and growing and we continue to refine our methodology and approach through the use of transitional care software platform, NexusConnexions. The combined effort between…
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