Difference between revisions of "Programs"

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(Utilization Management)
(Utilization Management)
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Variations <br>
 
Variations <br>
 
Low-Value Care <br>
 
Low-Value Care <br>
 +
* [https://www.healthnewsreview.org/2017/04/five-years-wisely-a-look-at-the-choosing-wisely-campaign-to-reduce-unnecessary-medical-tests-and-treatments/ Five years wisely: A look at Choosing Wisely’s effort to reduce unnecessary medical care (4/25/17)]
 
Location of Services <br>
 
Location of Services <br>
 
* [http://www.beckershospitalreview.com/finance/medpac-issues-march-report-to-congress-8-takeaways.html MedPAC recommends site-neutral payments for evaluation and management office visits so that the rates are the same whether the service is provided in a physician office or an outpatient department. (3/16/17)]
 
* [http://www.beckershospitalreview.com/finance/medpac-issues-march-report-to-congress-8-takeaways.html MedPAC recommends site-neutral payments for evaluation and management office visits so that the rates are the same whether the service is provided in a physician office or an outpatient department. (3/16/17)]
  
 
See [[Managing Health]]
 
See [[Managing Health]]

Revision as of 09:36, 22 June 2017

Ambulatory Care Sensitive Conditions

Ambulatory Care Sensitive Admissions - Reviews
Ambulatory Care Sensitive Conditions - Best Practices
Ambulatory Care Sensitive ER Visit - Reviews
Care Gaps
Same Day Appointments

Clinical Team Coordination

In-Network Coordination
Out-of-Network Specialist Coordination

Determinants & Intervention Documentation

High Value Office Visits

Reduce Low-Value Visits
Lab Tests or ER Visit reports in advance

Quality Measures

Referral Management

Risk Adjustment Factor (RAF) Coding

Second Opinions

Utilization Management

Variations
Low-Value Care

Location of Services

See Managing Health