An OIG audit of the University of Michigan Health System revealed noncompliance with four types of inpatient claims, including those associated with billing of DRGs, and two types of outpatient claims, including those billed with modifier –59 (distinct procedural service).
Historically, the social work profession resisted the change from manual documentation to template-based tools, but with the growing emphasis on quality and reducing hospital readmissions, social workers need to utilize case management assessments as a way to communicate risk and pertinent patient details.
As healthcare organizations navigate an increasingly complex regulatory environment, leaders at various levels—particularly HIM, release of information (ROI), compliance, finance, health information technology (HIT), privacy, and security—face unprecedented challenges.
Partners HealthCare System, Inc., notified more than 2,000 patients on February 5 that their protected health information may have been affected by a breach in 2017.
CMS announced a new voluntary bundled payment model in January called Bundled Payments for Care Improvement Advanced (BPCI Advanced). Bundled payments, like the ones established by BPCI Advanced, are designed to act as a carrot for healthcare organizations by offering them financial incentives to improve patient outcomes, better coordinate patient care, and rein in spending
