Cybercrime is up in the healthcare industry, and it’s a good idea to make sure you’re ready to respond to cyber incidents. The key to speedy mitigation is to have a security incident response plan, test the plan, and make sure it works as you exercise it. Having a plan is also a HIPAA Security Rule requirement.
Q: We're looking for ways to bring our CDI and coding teams together to improve documenation and coding for appropriate Hierarchical Condition Categories (HCC) capture. Are there any recommended models and should other departments or individuals be working alongside them?
Many case management and finance departments have been busy with appeal activities since CMS resumed its regulatory audits on August 3, 2020. Utilization review (UR) nurses are reporting increasing numbers of commercial denials as the coronavirus (COVID-19) pandemic is resolving.
