Alert fatigue defeats the purpose of EHR medication alerts, according to a recent studythat looked at how often medication-related clinical decision alerts were overridden, the reasons given for the overrides, and how appropriate the reasons were.
Q: A local school has asked us to come in and provide flu shots to the students and staff. Do we need to ask each person who gets the shot to sign our Notice of Privacy Practices (NPP), or can the school do so on their behalf and provide the information to them?
The focus of FY 2018 code changes is specificity. Payers now expect codes to reflect the exact diagnosis and care given before claims will be reimbursed. Increased granularity in both clinical documentation and coding is critical for revenue cycle success in the year ahead.
Mastering hierarchical condition categories (HCC) is key to success under new reimbursement methodologies that rely on risk-adjustment, quality, and value metrics such as the Quality Payment Program (QPP). Organizations need to take a close look at their training and audit programs to ensure that valuable information isn’t being left out of documentation—and negatively impacting HCC scores.
Patient care continues to move from the inpatient setting to outpatient. With this change, the challenge of securing comprehensive documentation that articulates the services rendered and the patient care provided now needs to extend across the care continuum.
