HIPAA privacy and security professionals work hard to create commonsense policies and procedures and lobby for the best technical safeguards for their organizations. But time and again that hard work is wiped out by the most persistent threat of all: insider threat.
Looking to get an ACM™ certification? In December, the American Case Management Association (ACMA) and National Board for Case Management (NBCM) announced a change to the exam eligibility requirements that may be of interest to those looking to earn ACM certification. The NBCM now allows applicants with at least one year of full-time supervised work experience to sit for the ACM-RN (Registered Nurse) and ACM-SW (Social Work) exams. Prior to this change, candidates had to have at least two years of case management experience before they could take either exam.
With a new year underway, providers likely need to get a handle on some key new modifiers, as well as important changes to an existing modifier and the deletion of a modifier that previously raised a lot of questions and operational concerns.
Pneumonia discharges impact hospital payments under the Hospital Value-Based Purchasing Program as well as the Hospital Readmissions Reduction Program. The selection of a principal diagnosis, secondary diagnosis, present on admission (POA) status, and discharge status on each claim determines whether a pneumonia discharge will be included in the measure.
This week's note discusses the National Correct Coding Initiative (NCCI) Manual, an often overlooked source of guidance for coders and chargemaster professionals when determining correct coding and billing to Medicare.
