If your organization is part of a Medicare accountable care organization (ACO), changes may be on the horizon. CMS is proposing changes to the program that would require organizations to take on more financial risk and is giving it a new name, “Pathways to Success.”
Q: Our coding team is currently debating how to report acute tubular necrosis (ATN) in ICD-10-CM for a patient after a renal transplant. Can you provide any guidance?
The Office of Civil Rights (OCR) offered considerations to healthcare organizations for securing electronic devices and media in its August Cybersecurity Newsletter.
Q: I work at the front desk at a clinic. My neighbor is one of our patients, and recently he asked if I could see when some test results would be available. Since I already had access to his records, is it a HIPAA violation to fulfill his request?
This week’s note from the instructor explores ways to implement new processes to meet CMS’ public list of standard charges requirement beginning in 2019.
As hospitals transform from volume-based to value-based reimbursement, the role and functions of the utilization review (UR) committee are evolving. Learn how to refocus UR and use it as a tool for success now and in the future.
