Last month, CMM outlined the new CMS 2014 inpatient prospective payment system (IPPS) guidelines, which revised inpatient admission standards (see correction on p. 4). This month we're going to offer some tips to assist you to help physicians document accurately, and inform you about some other changes that will affect the way case managers do business when it comes to meeting the new standard.
I am updating the notice of privacy practices and accounting of disclosures policy for my organization. Do any of the new, finalized rules indicate that the accounting of disclosures covers disclosures for treatment, payment, and healthcare operations?
It's no secret that ICD-10-CM allows for more specific coding of many diseases and conditions. However, your physician's current clinical documentation may not have enough detail to allow coders to take advantage of this increased specificity.
The top finding in Joint Commission surveys for the first half of 2013 should be no surprise for HIM professionals. For the last three years, RC.01.01.01 has been No. 1 on the top 10 list of most frequently cited standards in Joint Commission surveys. The good news is that RC.01.01.01 is the only standard from the Record of Care, Treatment and Services (RC) chapter to make the list. The bad news is that this standard and some of its EPs will most likely continue to be a challenge.
