Q: Patients who leave the hospital against medical advice (AMA) have a much higher 30-day readmission rate than patients with non-AMA discharges. What strategies can case managers use to help patients who may be at risk for leaving AMA?
The Program for Evaluating Payment Patterns Electronic Report (PEPPER) is a rich source of data. Consider how to use the PEPPER to guide coding and CDI process improvements.
Prior authorizations will be needed for certain hospital outpatient services starting on July 1, 2020. The change was made in the 2020 outpatient prospective payment system/ambulatory surgical center final rule. Hospitals are required to get prior authorization for the following five procedures:
As the healthcare industry continues to transition from face-to-face appointments to telehealth during the novel coronavirus (COVID-19) pandemic, reports of video conference hijacking are emerging nationwide.
Q: We have a patient that was admitted with sepsis due to COVID-19 who also has human immunodeficiency virus (HIV). How should we report this in ICD-10-CM, and which MS-DRG would this be assigned to?
