If your department is looking for a new case manager, the stakes can be high. Hiring the wrong person can result in lost time, money, and productivity. Find the right fit the first time by following some simple strategies that help you move past the candidate's paper persona and get a better picture of how he or she will perform in a real-life setting.
Hackers gained unauthorized access to the information technology system of Anthem, Inc., and exposed the PHI of more than 80 million people who are currently or were previously covered by the insurance provider. The attack also exposed the PHI of Anthem's employees, including President and Chief Executive Officer Joseph R. Swedish.
At HCPro's Accreditation Specialist Boot Camp, we continue to receive questions about standing orders, protocols, and verbal/telephone orders. With spring on its way by the time this article is published, I thought a fresh look at these topics would be in order (no pun intended). Let's try to dispel the myths and go straight to what the regulations say and what is best practice to meet them.
Historically, the healthcare revenue cycle has been dominated by fee-for-service (FFS) payment arrangements that reimburse providers for the volume of care they provide. These reimbursement models have always been tempered by medical necessity determinations to ensure that the care delivered to patients is in fact medically necessary. Over the past several decades, healthcare costs have been rising precipitously. In response, new payment models have been developed to curb that trend and to deliver more cost-effective care with higher quality and better outcomes.
