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October 18, 2018
Medicare Insider

This week's note explores the denials evaluation process and discusses items to consider when determining whether to appeal. 

October 23, 2018
Medicare Web

Last week, the U.S. Department of Health and Human Services Health Resources and Services Administration announced that it is awarding $293 million to primary healthcare clinicians and students in an effort to expand the workforce.

October 22, 2018
Medicare Web

Q: How can we develop clear duties and metrics for our denial management and avoidance programs?

October 22, 2018

Findings from a field trial recently published in Health Information Management Journal show that a simplified version of ICD-10-CM may be an effective tool in developing countries that have been unable to collect ICD-10-based health statistics.

October 22, 2018
Briefings on HIPAA

HIPAA allows patients to request amendments to their medical records. Facilities are not required to automatically make whatever change a patient requests, but they must allow patients to make the requests and follow a specific process for handling them.

October 19, 2018
Medicare Web

Patients of Lincoln Pulmonary & Critical Care in Lincoln, Nebraska, may have had personal and billing information exposed in a mailing mix-up.

October 19, 2018
Medicare Web

Q: We have a patient admitted with a history of chronic heart failure (CHF) and end-stage renal disease (ESRD) who was admitted with volume overload due to acute kidney injury (AKI) and dialysis noncompliance. The AKI and volume overload resolved with hemodialysis treatment. How should we report this in ICD-10-CM?

October 19, 2018
Case Management Monthly

Learning objective

At the conclusion of this activity, the learner should be able to:

October 18, 2018
Medicare Insider

This week's note explores the denials evaluation process and discusses items to consider when determining whether to appeal. 

October 18, 2018
Medicare Web

Q: Where can the policy be found that shows records can be destroyed as soon as they are scanned into the electronic medical record (EMR)? Would a hospital presume that it is acceptable to destroy paper records after they are scanned into the EMR if electronic storage media is legally acceptable for medical records in its state?

October 17, 2018
Medicare Insider

This week’s Medicare updates include a new national coverage analysis for ambulatory blood pressure monitoring, an article on CMS actions in Hurricane Michael relief efforts, the release of the 2019 Star Ratings for Medicare Advantage and Part D prescription drug plans, and more!

October 17, 2018
Medicare Web

Q: How as a case manager can I help stroke patients reduced the likelihood of readmission?

October 17, 2018
HIM Briefings

Follow in the footsteps of leading organizations and get the most out of your denial programs with these four steps.