Q: I perform monthly HIPAA audits of computer systems at the medical group where I am employed. I recently started auditing physicians and allied health professionals who are credentialed members of our medical staff.
P.T. Barnum once said, "There's a sucker born every minute." The sentiment that many people are gullible, and we can expect this to continue, has never been truer than with HIPAA compliance.
More and more hospitals are choosing to become part of Accountable Care Organizations (ACO) in an effort to streamline patient care and reduce costs. If your organization is considering joining an ACO, you may have questions about how these groups work and how the change might affect your job. CMM asked several experts for the lowdown on what the transition to an ACO might mean for case managers.
Incentives posed by the Institute for Healthcare Improvement's Triple Aim Initiative and value-based purchasing emphasize treating the whole person to include preventive, medical, dental, postacute, community, mental health, and addiction services.
Last month, we laid the foundation to promote successful engagement of the coding and clinical documentation improvement teams in PSI 90 performance improvement efforts.
