News & Analysis

June 1, 2012
Case Management Monthly

Improving the hospital experience for patients, improving the quality of care, and reducing costs were the goals when case managers at Martin's Point Healthcare in Portland, Maine, stopped working independently and started working as teams.

June 1, 2012
Case Management Monthly

For many patients, home health services can mean the difference between a successful recovery and a hospital readmission, but patients who need services go without because of confusion over eligibility requirements.

June 1, 2012
HIM Briefings

Managing Recovery Auditor preparation, requests, ­denials, and appeals entails the work of many staff members across many departments.

June 1, 2012
Briefings on APCs

Consider this scenario: A physician orders three hours of hydration as well as a one-hour therapeutic antibiotic infusion for a patient. A nurse documents the ­hydration start time as 10 a.m. and the antibiotic start time as 11 a.m. Neither provider documents a stop time. What should coders report?

June 1, 2012
Briefings on APCs

Our coding experts answer your questions about payment for items in OPPS Addendum B and skin substitutes, incomplete documentation for IV infusions, coding for amputation of finger and aftercare, facility codes for peritoneal dialysis

June 1, 2012
Briefings on APCs

Providers and payers may have an additional year to transition to ICD-10-CM/PCS if the Department of Health and Human Services (HHS) finalizes a proposed rule released April 9.

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