As healthcare continues to evolve, addressing the effect changes may have on the healthcare landscape and establishing goals for the future is important.
Better late than never. This is what some healthcare professionals are likely saying about the delayed release of the fiscal year (FY) 2014 OIG Work Plan, which was due to be released in fall 2013 but did not make an appearance until January 2014.
Case managers can play an important role in the financial health of any organization and should take an active part in the revenue cycle, which includes all the administrative and clinical activities that contribute to the accurate and complete capture, management, and collection of patient service revenues from preadmission through discharge, says Stefani Daniels, RN, MSNA, CMAC, ACM, managing partner at Phoenix Medical Management, Inc., in Pompano Beach, Fla.
If your organization is like many others, you may still have some unanswered questions about the 2-midnight rule. To get organizations up to speed, Medicare Administrative Contractor (MAC) teams are now providing education sessions nationwide. These sessions are designed to give organizations an overview of what to expect and how to comply.
CMS made relatively few changes in the April quarterly I/OCE update, introducing four new APCs, deleting one, and reclassifying several skin substitute codes.
With the use of EHRs on the rise, so too is inappropriate use of EHR functionality. Many of these unintended consequences of EHR use are popping up on the radar of healthcare organizations and the federal government alike.
