Electronic health information exchange (HIE) has become the center of attention for most states, and many healthcare organizations want to tap into available stimulus dollars and new electronic health record (EHR) incentives.
Because of the high risk that laptop computers and other portable devices create for a potential privacy breach, healthcare organizations should consider creating an easy-to-understand training guide that describes staff members’ responsibilities.
Physicians can defer admission decisions to those who truly understand level of care—the case managers. The method is called the “admit per case management protocol.
The appeal process is much more complex than conducting a clinical review for an insurance company. Appeal writers must complete a full review of the record and consider multiple sources, such as CMS guidelines and managed care contracts, to successfully argue their case.
