Determining whether a patient should be an inpatient or on observation services can be a challenging call. If the wrong decision is made or the right decision isn't properly documented, the claim will likely be denied.
Gloryanne Bryant, RHIA, RHIT, CCS, CCDS, regional managing director of HIM (Northern California Revenue Cycle) for Kaiser Permanente in Oakland, compiled a sample list of some of the terms coders are likely to see when coding for wound care. Consider sharing this reference tool with your coding staff.
With 46% of survey respondents anticipating revenue losses from the ICD-10 transition, it may appear illogical that only 3% of healthcare leaders say they are already prepared to make this transition. However, the reason behind the unpreparedness is quite understandable. With mounting mandates and competing priorities, healthcare leaders say they cannot free up the manpower or financial resources needed to get this initiative under way.
Business associates (BA) may not be the target of upcoming HIPAA compliance audits, but failure to comply with the regulations could be very costly, says Tom Dumez, CHP.
The time for healthcare organizations to undertake a review of their operations is now-OCR anticipates that its long-awaited HIPAA compliance audit program will be under way this fall.
