In this article, we will dissect the latest significant breach reported by the Office of Civil Rights. It involved MedEvolve Inc. and resulted in a $350,000 fine. We’ll explore the potential preventive strategies that healthcare entities can implement.
In their HCPro book The Hospital Guide to Contemporary Case Management, authors Stefani Daniels, RN, MSNA, ACM, CMAC,and Tiffany Ferguson, LMSW, CMAC, ACM, examine a critical question that many organizations ask when they are looking to hire—does a case manager really need to be a registered nurse?
When a CDI program is renewed or created, the main focus tends to be on the CDI department structure: its policies, education, staffing needs, and key performance indicators (KPI). Learn how to identify KPIs for your CDI program.
Coders are now tasked with reporting social determinants of health, or circumstances in patients’ lives that can influence the quality of their life and overall wellbeing. Understand how to improve documentation of these factors and ensure complete and accurate coding.
Coders saw extensive code changes and expansion for ICD-10-CM category O35.- in 2023. Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, COBG, reviews what coders need to know when reporting fetal conditions affecting the management of the mother.
This week’s Medicare updates include the CY 2024 End-Stage Renal Disease Prospective Payment System proposed rule, a fact sheet on the Enhancing Oncology Model, and more!