We hear about physician engagement across and throughout all healthcare settings almost daily. This is not new, but when it comes to ICD-10-CM/PCS preparation, facilities and practices need engaged physicians.
In November 2006, CMS published a final rule on the Conditions of Participation (CoP) for hospitals. Among the finalized provisions, there was a five-year window given during which CMS permitted orders (including verbal and telephone orders) to be signed by either the ordering physician or another physician responsible for the patient's care (e.g., a covering physician or practice partner). Those five years came to an end on January 27, 2012, meaning that, as of that date, hospitals needed to ensure that their orders were signed only by the ordering practitioner him- or herself. However, in October 2011, CMS released a proposed rule addressing the five-year sunset provision. Per the Federal Register:
When case managers are looking at patients who are frequently readmitted to their facility within 30 days of their last discharge, chances are they'll find a lot of chronic heart failure (CHF) patients among them. That's because CHF patients typically have a higher readmission rate than any other disease, says Jan Lear, RN, CMC, director of case management at MedStar Franklin Square Medical Center (MFSMC) in Baltimore.
HIPAA requires implementation of technical policies and procedures for electronic information systems that maintain electronic protected health information (ePHI) to allow access only to those persons or software programs that have been granted access rights [§164.312(a)] as specified in the administrative safeguards under access authorization, establishment, and modification [§164.308(a)(4)].
When it comes to the scanning function, how does your facility compare to those of your peers? To help you answer that question, MRB focused its latest quarterly benchmarking survey on scanning productivity. We hope you'll find the results helpful. More than 200 survey respondents completed the 2012 survey, including:
Utilization review (UR) and case management are as traditional a team as peanut butter and jelly. But some facilities are asking whether this longtime duo is really the best combination.
