The field of case management is rapidly evolving as hospital leaders look to case managers to help them meet a host of new regulatory requirements and financial goals. But too often this has put undue pressure on case managers and taken focus off their most important job—coordinating care.
Even if a hospital is not a teaching hospital, it may have services that require National Clinical Trial (NCT) reporting. It is logical for revenue integrity leadership to own this issue, but an explanation of the requirements for NCT reporting should be shared with all staff within the revenue cycle so there is a better appreciation of the fact that clinical trial billing rules apply more broadly than merely just to research or clinical trial studies.
This week's note from the instructor checks in on the current status of the 340B court case in light of CMS' request for comments in the 2020 OPPS proposed rule on ways to remedy the 340B reimbursement adjustments.
HIPAA security officers arguably have more on their plates now than ever before as the cloud and mobile era are fully upon us and potential cybercriminal access to PHI increases,
Behavioral health is a highly specialized area of coding that many coders and billers are unfamiliar with. There are hundreds of ICD-10-CM codes for mental disorders with unique characters to specify symptoms and complications.
