Jeffrey Rakover, Cardiovascular Roundtable
Many institutions still struggle with increased pressure to bill traditionally inpatient care on an outpatient basis. The RAC audit program continues to be controversial in some quarters, even if it’s accepted as an unfortunate fact of life in others.
The most recent proposed inpatient rule only exacerbates the pressure to accurately triage patients between inpatient and outpatient, proposing that patients be in the hospital for at least two midnights to qualify as true inpatients.
The Roundtable has produced a number of resources bearing on the question of increased scrutiny of inpatient stays and the shift toward outpatient payment. Here, we’ve compiled our tools and publications for programs to effectively navigate these pressures.
The resources include triage criteria, case studies and insights to optimize observation status, and strategies to decrease length of stay for procedures where actual care patterns lag behind payment categorization.
Managing the outpatient shift: Roundtable resources
Megan Tooley, Cardiovascular Roundtable
At our 2012-2013 national meeting series, we've been providing key lessons for optimizing CV IT in our presentation "The Information-Powered CV Enterprise". This research offers guidance for CV administrators on establishing an effective CVIS strategy, and best practices for using health IT to improve quality, coordinate care, and reduce costs.
For those of you who weren’t able to make the meeting, there’s still a chance to catch what you missed with our two-part webconference series.
Webconference alert: The Information-Powered CV Enterprise, Part II
Brian Maher, Cardiovascular Roundtable
For the first time, the American College of Radiology (ACR) and American College of Cardiology Foundation (ACCF) have jointly developed new appropriate use criteria (AUC) for CV imaging in heart failure patients.
The new criteria mark an important step in national efforts to optimize the utilization of CV imaging services for a high-cost, resource-intensive population. However, some questions remain regarding the usefulness of the new criteria in clinical practice.
New CV imaging AUC released, but how much will it help?