Efficient, correct, and compliant release of information (ROI) processes are necessary to support patient care, legal processes, reimbursement, and patients’ rights. Give ROI staff and leaders a shot of energy with targeted training that adapts to their needs. Succinct modules, interaction, and a positive attitude can have a ripple effect on the department.
Inpatient rehabilitation facilities are a valuable postacute option for patients with complex medical and rehabilitative needs. But if you’re planning on referring a patient to one of these facilities, it’s becoming more important to make sure he or she meets medical criteria for the placement before making a recommendation.
Mr. A suffered a cerebrovascular accident, which has affected his ability to comprehend and communicate. Mr. A needs someone to consent for percutaneous endoscopic gastrostomy placement, but he lacks the capacity for decision-making, as certified by two physicians.
Healthcare organizations are facing challenging times. Shifting reimbursement models and the uncertainty surrounding federal programs may cause organizations to tighten their spending. Every department—from clinical to security—can feel the pinch as leadership prepares to weather the bumpy road ahead.
Q: We are trying to educate our coding department about medical necessity, but has CMS or Medicare defined it anywhere? How can we explain it to staff?
