Certain modifiers are well-known as being difficult for coders. (Modifier -59, anyone?) Others, particularly HCPCS level II modifiers, may be a challenge because they are new, more complex, or simply used infrequently on your hospital’s claims.
Many hospitals seem to struggle with inconsistencies in the quality of their physicians’ history and physical exam (H&P) documentation, particularly when it comes to allergies and current medications. And the medical staff at Central Peninsula Hospital in Soldotna, AK, believed they were no exception, according to MarianneDailey, RHIT, CHP, CPHQ, HIM director and privacy officer at the hospital.
Motivating staff to produce more when recognition of superior performance is limited or nonexistent is difficult. Remember that incentives need not be financial; they can be monetary or non-monetary, individual- or team-based. Organizations may offer them regularly or sporadically based on variable or consistent criteria.
The Affordable Health Care for America Act, passed in late March, may leave many HIM directors scratching their heads. After all, sweeping reform must mean change is coming, but what will it look like?
The American Case Management Association (ACMA) Public Policy Committee is in communication with CMS to change the requirements for the second Important Message from Medicare (IM).
