In the first article in this series, we provided an introduction and overview of the PSI 90 measure, which is included in two CMS pay-for-performance programs. Because PSI 90 is a claims-based measure, performance is largely determined by ICD-9-CM codes on the claims.
While some HIM professionals may feel a sense of relief knowing RAC audits are on hold for the remainder of 2015, that should not deter workforce members from keeping track of denials and appeals and defending code assignments.
There are times when state privacy and security laws trump HIPAA, and healthcare organizations and their business associates (BA) should have a clear understanding of their compliance obligations in the midst of what can be a complex web of regulations.
There are compelling reasons with which to make a case to company executives of the benefits of a good data security program. It starts with return on investment calculations.
