After identifying areas of concern related to missing or inaccurate information on discharge paperwork, CMS is encouraging surveyors to keep an eye out for documentation gaffes.
Critical care coding can challenge both new and seasoned coders. Jessica Miller-Dobbs, CPC, CPC-P, CGIC, offers tips and clarification on reporting critical care services in CPT, as well as sample provider documentation for these services.
Robust authentication processes are often the first line of defense against cyberthreats. A recent Office for Civil Rights Cybersecurity newsletter emphasizes the importance of strong authentication in safeguarding electronic protected health information (ePHI).
