Nancy is a manager of a hospital with a large indigent population. Nancy notes that immediately after the implementation of healthcare reform, many of her patients have obtained some form of health insurance, usually Medicaid. Often, the patients access Medicaid with the help of the hospital’s expert financial counselors. Recently, however, the number of uninsured patients in the community seems to be increasing. As a result, more uninsured patients are being admitted. Before healthcare reform, many uninsured people failed to seek timely, preventive healthcare. Therefore, they were quite sick by the time they came to a hospital. Nancy is now seeing a resurgence of uninsured indigent patients.
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.
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.
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?