CMS recently released new documentation guidance on medical review of E/M services performed by medical students. A medical student may document E/M services if the physician performs or re-performs the exam and then verifies the student’s documentation.
This week’s Medicare updates include the release of the 2019 Home Health Prospective Payment System proposed rule, two new MACRA resources, additional instructions related to the new Medicare cards, and more!
Although regulatory agencies have not banned the use of medical scribes, organizations must follow certain requirements. Learn how to define the scribe’s role and responsibilities and ensure that documentation is correctly certified.
Many HIM directors find that managing the coding team requires a different type of focus than other functions within the department. This may be true because coding professionals have advanced education, prefer a quiet work environment, and require less direction.
This week’s Medicare updates include several changes to the July 2018 update of the Outpatient Prospective Payment System, the introduction of a new Data Element Library to help support interoperability, a request for information regarding possible changes to Stark Law, and more!
The Hierarchical Condition Categories (HCC) risk-adjustment methodology is beginning to surface more frequently in both the acute and primary settings. Use these expert tips to help improve complete, compliant HCC capture.