Quality of care is a top priority for HHS, CMS, OIG, and DOJ. It also has always been an issue for state surveyors, state attorneys general, and Medicaid Fraud Control Units as they examine skilled nursing facilities. In fact, quality of care is now part of the OIG's annual Work Plan.
Who would have thought that buying gas with a credit card or wearing a pacemaker could leave a person's information exposed? Yet highly sophisticated credit card skimming devices at gas stations are stealing from consumers, and healthcare organizations are concerned about the potential for malicious tampering or the theft of PHI from wireless medical devices such as pacemakers. Hidden vulnerabilities lie in everyday activities like these, and some of those vulnerabilities can expose PHI and put healthcare organizations at risk.
Our experts answer questions about billing vasectomy and sperm analysis, coding for ED visit when the patient is admitted for surgery, billing glucose reading before a PET scan, documentation required for the functional limitation codes, and appropriate reporting of observation.
HIM directors can always do more to gear up for the super transition into ICD-10 next year. In fact, one way you can begin preparing is to pinpoint specific elements in ICD-9 that already exist in the record and will be documentation and coding musts once the new code set arrives.
