Ask the Expert

What guidelines can hospitals follow to establish ambulatory case management staffing ratios?

Q: How can organizations develop a business case or plan for revenue integrity departments?

Q: What are the first steps we need to take when considering a coding audit? Can we conduct it ourselves or will an external group?

Q: If a patient comes into an outpatient facility for a surgical procedure and the physician evaluates the patient before performing the procedure, can you append modifier -25 to the E/M service?

Q. Is a hospital’s human resources (HR) department covered by HIPAA? I work at a hospital and suspect that someone in our HR department disclosed medical information about an injury I sustained at a previous job. Is this a HIPAA violation?

Q: How can social workers effectively assess and assist refugee populations?

What resources are available for social workers who spot elder abuse in their patients?

What impact does the registration or access department have on overall revenue integrity?

What should case management directors consider when implementing a case management model?

What strategies can patient access departments employ to ensure patients are registered and processed in a timely manner?