Patients getting readmitted to the hospital is inevitable. Learn how to create better targeted interventions to prevent readmissions as appropriate.
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There is a great deal of pressure to prevent readmissions, as if there was a single, unifying solution. But readmissions can have a myriad of causes, from patients being sent home prematurely to patients being unable to afford their medications to the home care team being unable to deliver the needed equipment in a timely manner. Huge efforts are put in place to prevent readmissions with dedicated teams working to prevent readmissions, yet their efforts are often counter-productive and ineffective.
During this RACmonitor webcast, Dr. Ronald Hirsch will show you and your team how to target interventions to prevent readmissions effectively and compliantly. He will analyze readmissions from several different perspectives including the finances of readmission prevention for Medicare and commercial patients, the various payer programs dealing with readmissions, the right and wrong way to avoid readmissions, and how to know whether your facility is doing it right. You will better understand the financial, compliance, and patient care aspects of readmissions and be empowered to target interventions to prevent readmissions as appropriate.
Readmissions are inevitable. Yet there are ways to properly handle readmissions and develop compliant strategies for appropriate prevention.
Readmissions are on the radar of every healthcare facility in large part due to the penalties and publicly reported scores for readmissions. Huge efforts and dedicated teams are put in place to prevent readmissions, yet these efforts are often counter-productive and ineffective.
Those who will benefit most from this webcast include staff in utilization review, revenue cycle, revenue integrity, case management and compliance, as well as chief financial officers, chief nursing officers, physicians and physician advisors.
Ronald Hirsch, MD, FACP, CHCQM-PHYADV, CHRI, FABQAURP is vice president of the Regulations and Education Group at R1 Physician Advisory Services. Dr. Hirsch’s career in medicine includes many clinical leadership roles at healthcare organizations ranging from acute-care hospitals and home health agencies to long-term care facilities and group medical practices. In addition to serving as a medical director of case management and medical necessity reviewer throughout his career, Dr. Hirsch has delivered numerous peer lectures on case management best practices and is a published author on the topic. He is a member of the Advisory Board of the American College of Physician Advisors, a member of the American Case Management Association, and a Fellow of the American College of Physicians. Dr. Hirsch is a member of the RACmonitor editorial board and is regular panelist on Monitor Mondays.
The opinions expressed are those of the author and do not necessarily reflect the views, policies, or opinions of R1 RCM, Inc. or R1 Physician Advisory Services (R1 PAS).
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