Jamie, a novice case manager with only three months of experience, just could not understand the concept of “seamless” as it applied to case management. She had attended her case management orientation with full attention and commitment, but she still couldn’t grasp the concept.
Northern Arizona Healthcare in Flagstaff uses case management extenders to manage costs associated with its population health program. We thought it was worth a closer look at how these positions work and what these professionals can do within their organization.
Coding experts take a look at changes to ICD-10-PCS, including guideline updates, the addition of “other devices” characters, and new tables added for root operation Replacement.
Three major types of payer record reviews are conducted every year: The Healthcare Effectiveness Data and Information Set (HEDIS), Medicare Risk Adjustment, and Commercial Risk Adjustment. As the volume of payer and health plan reviews continues to climb, millions of patient records are requested.
