News & Analysis

July 1, 2012
Briefings on HIPAA

Healthcare organizations face increasingly complex privacy and security issues as they cope with new technology, but many organizations are still struggling with the basics of establishing a compliance program. A natural place to begin is a code of conduct, and policies and procedures.

July 1, 2012
Briefings on HIPAA

Focus of OCR HIPAA auditors might surprise some healthcare organizations.

July 1, 2012
Case Management Monthly

If you merely review patient charts and compare them to screening criteria, such as InterQual® and Milliman®, you're not doing enough.

July 1, 2012
Briefings on APCs

Pain is an expected component of injuries, illnesses, and surgical procedures. Let's face it, breaking your leg hurts. In some instances, however, the patient's pain is unexpected or is worse than predicted. Sometimes, the pain can last well beyond the time it should have resolved.

July 1, 2012
Briefings on APCs

Our coding experts answer your questions about correct use of modifier –PD, coding infusions to correct low potassium levels, payment for HCPCS code J2354, appropriate reporting of IV push followed by infusion of the same drug, and the difference between modifiers –AS and -80.

July 1, 2012
Briefings on APCs

To correctly assign codes for any surgical procedure, coders need to have an operative (OP) report. But simply having the OP report isn't enough. Coders also must be able to read the report and pick out the important information.

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