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February 5, 2020

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February 17, 2019

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Hospital Readmissions - Driving Reduction Through Enhanced Patient Care Communication

January 20, 2019


Hospital Readmission Without Septicemia


Palmetto GBA just this week posted on its website an article titled Hospital Readmission Without Septicema discussing the CMS Hospital Readmission Reduction Program. pointing out the cost of unplanned readmissions is $15 to $20 billion annually. Interesting enough the following statements in the article run contrary to findings of a study published in January's Health Affairs that called into question the realization of readmission reductions achieved through the HRRP since its inception. “The value-based reimbursement program contributed to significantly less hospital readmissions between 2010 and 2015, according to CMS data from September 2016. General readmission rates fell by 8 percent nationally during the time period, resulting in Medicare beneficiaries avoiding nearly 100,000 unnecessary readmissions in 2015 compared to 2010.”


From a documentation standpoint CDI can do best in insuring clear and accurate communication of patient care of key factors that impact likely readmission probability including an encompassing d