Q: If our physician only documents “uncontrolled diabetes” in an admitted patient’s chart, but I can see from the lab results in the record that the patient’s blood glucose levels are high, can I go ahead and assign the ICD-10-CM code for diabetes with hyperglycemia?
Can a fast track system really improve care in the emergency department (ED) and move patients through the system more quickly? Authors of a recent study say, yes.
Q: I’m a registered nurse, and I received treatment at the ER of the hospital where I work. When I asked for a return-to-work note the next day, the physician told me that my supervisor called her the previous evening and asked if I had asked for the note. Is this a HIPAA violation?
This week's note from the instructor delves into an issue with inpatient-only procedures that may result from wording in the 2019 Inpatient Prospective Payment System (IPPS) final rule.
This week’s Medicare updates include a new Home Health Change of Care Notice, a final rule regarding drug pricing transparency, new information on patient relationship categories and codes, and more!
