Case management is a tactical and strategic profession governed by ever-changing regulations. Staying current with regulations is not something a case management leader can do casually or occasionally. The process requires thoughtfulness, broad thinking, and the ability to educate staff and to implement and audit process changes as they relate to new regulations.
Q: In ICD-10-CM, how would you report a patient who is receiving hemodialysis and has chronic kidney disease (CKD) when a failed kidney transplant is also documented?
A former Arkansas Children’s Hospital employee is under investigation for misusing patients’ personal health information for personal gain, according to an announcement from the hospital.
This week's instructor's note addresses the coding implications of the proposed changes to E/M coding from the Medicare Physician Fee Schedule proposed rule.
Payers rely heavily on the use of data and data analytics to manage their risk. Follow these tips for using payer guidelines to understand what they’re looking for and how to improve documentation.
