The roles and responsibilities of the HIM department have been transformed over the past decade. Although many of the core functions—coding, transcription, ROI—remain at the heart of the department, the way these tasks are performed has changed over time. As newer fields such as CDI or revenue integrity grow, they can open up questions about what role the HIM department plays in the organization and move critical HIM functions out of the department’s direct oversight.
This week’s Medicare updates include a new Medicare preventive services education tool, the September edition of the Patients over Paperwork newsletter, an OIG audit of Medicare Advantage’s appeal outcomes, and more!
The powerful data analytic tools used for predicting patients at risk for high healthcare utilization, healthcare costs, and mortality are essential to a successful population health model of care.
CMS recently released updated guidance on billing intensity-modulated radiation therapy (IMRT) after an OIG audit found a 100% error rate in billing certain IMRT planning services.
It's been more than three years since CMS introduced a subset of modifiers it wants providers to report instead of modifier -59 (distinct procedural service), but they're still optional as barely any new guidance has been released.
