Each year the Office of Inspector General (OIG) outlines its enforcement priorities. Its 2015 Work Plan includes items case managers should have on their radar.
This week’s updates include solicitation of new safe harbor and special fraud alerts and changes to the Recovery Audit Program. Click the link above to read more about this week’s updates.
MRB asked HIM and release of information (ROI) professionals about their ROI practices for its first quarterly benchmarking survey of 2015. (The survey was completed in October 2014.) Half of survey respondents are HIM directors or managers (52%). Other respondents identified themselves as non-managerial HIM staff members (18%) or ROI directors or managers (4%). The majority of respondents (65%) work in hospitals.
Preventing readmissions is a hot topic these days. CMS has imposed new financial penalties for organizations that don't successfully prevent 30-day readmissions for patients with certain medical conditions, and organizations are always looking for new strategies to ensure patients are successfully able to move to the next level of care.