Obtaining valid authorizations for disclosure is a significant area of risk for many organizations. Often, staff members handling disclosures don't understand the requirements?especially regarding when authorizations are needed and who can legally sign them. This chapter takes a comprehensive look at authorizations, including required elements, when they're needed, when they're not needed, who can sign them, and the need to screen outside authorizations.
Many hospitals have added case managers to their EDs, but these case managers face unique situations. CMM experts answer questions about how to handle these issues.
It's been two years since the American Health Information Management Association joined ACDIS to offer the industry physician query instructions in Guidelines for Achieving a Compliant Query Practice, published in February 2013.
Last month, we laid the foundation to promote successful engagement of the coding and clinical documentation improvement teams in PSI 90 performance improvement efforts.
Taxonomy codes play a very important role in medical billing and credentialing for providers or group specialties.HIPAA-standard code sets specify a "standard" for transactions. In many cases, a taxonomy code is required to reimburse a claim; however, the reporting requirements for a taxonomy code may vary between insurance carriers and your third-party payers.
The April quarterly I/OCE update from CMS did not defy convention featuring the typically small number of updates following extensive changes in the previous quarter but CMS did continue to clarify
