Some of the most significant HIPAA risks stem from the often overlooked processes where protected health information is collected, handled, and disposed of.
It is no longer enough to confirm that a diagnosis is documented somewhere in the record. The documentation must also clearly demonstrate the clinical severity of the patient’s illness.
UnitedHealthcare recently announced its plans to cut prior authorization requirements for 30% of services that previously required insurer approval by the end of 2026.
Coding for alcohol- and drug-related disorders requires careful attention to both clinical terminology and the structure of the ICD-10-CM classification system.
This week’s Medicare updates include a six-month enrollment moratorium for hospices and HHAs, a preliminary list of participants in the Ambulatory Specialty Model, and more!
Practices and revenue cycle management companies that report obstetric services must be ready to report under the new CPT guidelines for maternity care services by September 1.
As artificial intelligence (AI) moves deeper into healthcare operations, from clinical documentation to coding and decision support, HIM leaders are being pulled into a more central, critical role.
HCPro is seeking insights on revenue cycle professionals’ current pain points and education needs. Register for one of our upcoming focus groups to make your voice heard.
This week’s Medicare updates include plans to improve beneficiaries’ access to GLP-1 medications, developments related to electronic prior authorization, and more!
