This week’s Medicare updates include a new Medicare preventive services education tool, the September edition of the Patients over Paperwork newsletter, an OIG audit of Medicare Advantage’s appeal outcomes, and more!
The roles and responsibilities of the HIM department have been transformed over the past decade. Although many of the core functions—coding, transcription, ROI—remain at the heart of the department, the way these tasks are performed has changed over time. As newer fields such as CDI or revenue integrity grow, they can open up questions about what role the HIM department plays in the organization and move critical HIM functions out of the department’s direct oversight.
The powerful data analytic tools used for predicting patients at risk for high healthcare utilization, healthcare costs, and mortality are essential to a successful population health model of care.
Developing an outpatient CDI program isn't just about metrics--departments needs to consider how to engage providers and interact with other teams to be truly effective.
Most covered entities still use mailings to communicate with patients and members, so it is worth revisiting Aetna's 2017 mailing breach and the surrounding litigation to understand where negligence occurred and to take away some valuable lessons learned.
