Jerry and Bob are twins who, up until six months ago, lived with their mother. When she died suddenly and her home was foreclosed, the two brothers found themselves homeless. Neither of them has a job, and both are disabled: Jerry has a physical injury caused by a past construction job, and Bob has severe cardiac disease. On the coldest night of the fall season, Bob is stricken with severe chest pain that is unrelieved by oral nitroglycerin.
Electronic health records fall short of early promises that they would reduce administrative costs, a recent study found. The cost of completing insurance- and billing-related activities in the EHR can represent more than a quarter of professional reimbursement for an emergency department visit.
Q: Our facility does not have a standard appeal letter template to respond to medical necessity denials. Do you have any suggestions for how to respond?
Q: Is it necessary for organizations to provide HIPAA training for all workforce members, even those who are not involved in patient care? Does that include cafeteria staff, workers employed through a temp or staffing agency, etc.?
This week’s Medicare updates include a list of new topics proposed for recovery audit contractor review, a final decision memo on a cardiology device NCD, a diagnosis code update for add-on payments for a blood clotting factor, and more!
