The shift from fee-for-service to value-based programs for outpatient payment systems has increased the need for outpatient CDI staff to review documentation for pertinent clinical factors.
Joya is waiting at the airport in Norway for her plane to the U.S. when she makes a last-minute decision to purchase travel insurance. She reads the insurance policy and information and realizes it excludes preexisting conditions. Joya has an existing cardiac condition that she knows might void the policy, but she decides to be positive.
Using EHRs to share laboratory results with other hospitals within a system is associated with significant reductions in heart failure and pneumonia mortality scores, according to a study in The American Journal of Managed Care. Results showed a statistical significance of a .24 reduction in pneumonia mortality scores and a .19 reduction in patient heart failure.
This week's note examines a new Special Edition MLN Matters article, SE18002, and its impact on billing processes for OPPS providers with multiple service locations.
