A recent analysis of patient financial transactions from more than 800 hospitals noted performance disparities among managed care payers for revenue cycle key performance indicators where accounts receivable and denials are concerned.
Case managers provide value across many healthcare settings and specialties. In particular, their interpersonal and communication skills can prove invaluable in the area of workers’ compensation, according to CMSA Today.
Handling requests for information from law enforcement can throw staff for a loop. Most staff are aware of their organization’s policies and the basic HIPAA requirements for disclosing patient information to family members, friends, and other individuals such as legal guardians. But handling requests from law enforcement officials can be a different matter.
Can a facility bill a cancelled inpatient-only procedure on Type of Bill 131 or does the patient type/status remain as inpatient with Type of Bill 111?
The 2018 OPPS final rule, published in the Federal Register on November 13, has two changes that could affect case managers—the removal of the total knee replacement from the inpatient-only list and cuts to payments for drugs purchased through the 340B drug discount program.
