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A hospital is seeking to improve a low CMS rating, and have included the coordinator in a group monitoring compliance with Medicare Advantage standards and regulations. Which action by the coordinator will assist in improving compliance on provider paperwork?

User BladeHal
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Final answer:

The coordinator can assist in improving hospital compliance by implementing electronic medical records (EMRs) and adhering to the administrative cost cap, which align with the ACA's regulations to reduce healthcare costs and enhance efficiency while ensuring patient privacy is protected.

Step-by-step explanation:

To improve compliance with Medicare Advantage standards and regulations in a hospital aiming to enhance its CMS rating, a coordinator can take significant measures. Implementing the use of electronic medical records (EMRs) is a critical step that aligns with the Affordable Care Act (ACA) regulations. This switch not only reduces administrative costs by streamlining paperwork but also facilitates better overall healthcare efficiency. Furthermore, the coordinator can ensure that all provider paperwork adheres strictly to the stipulated administrative cost cap introduced by the ACA, which prevents unnecessary expenses.

By focusing on these areas, the coordinator will assist in improving compliance and potentially boost the hospital's CMS rating. It's also essential for the coordinator to monitor patient privacy and ensure that the sharing of digital health records complies with relevant laws and regulations, balancing cost reduction, patient care quality, and privacy risks.

User Lanery
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