With the challenges and sometimes-abundant negativity everywhere we look, we can forget the privileges of a certification or degree in HIM. Take a moment to remind yourself of the reasons you're proud to be an HIM professional.
Q: We have started receiving rejections for claims with HCPCS code C1842 (retinal prosthesis, includes all internal and external components). We provide the service with the retinal implant and are confused why it's getting rejected.
Effective July 2016, as part of The Joint Commission’s Project REFRESH, the Medical Record Statistics form was retired for hospital accreditation surveys. Is it still important to monitor our medical records for presence, timeliness, legibility (paper or printed), accuracy, authentication, and completeness?
A recent study revealed good news for hospitals taking advantage of one or more Medicare value-based reforms. Participation in Medicare programs that focus on improving quality and value of care can often lead to a larger reduction in 30-day readmissions, according to JAMA Internal Medicine.
This week’s Medicare updates includes new information on payment for moderate sedation services, influenza virus vaccine code implementation, new K codes for therapeutic continuous glucose monitors, and more!
An authorization generally applies when an organization wishes to use or disclose a patient’s protected health information for a purpose other than treatment, payment, or healthcare operations, or for legally required purposes. In this case, a patient must sign a HIPAA-compliant authorization form that specifically grants permission to the organization.
Case management directors are held accountable to many metrics. But far too often, information about these metrics is not shared with staff. What a shame. If staff is to work smarter, they must be kept in the know. So, what is the best way to do this? Use the daily departmental huddle to review key metrics on a visual board. The huddle and review of the board should not last more than 15 minutes, but can serve a dual purpose if used correctly. For starters, it ensures staff is up to date with hospital metrics and identifies hot issues for the day. It also alerts case management leadership to case load issues so they can determine where help is needed.