This week's note from the instructor discusses the steps involved in the prior authorization process for certain hospital outpatient department services.
Unpack two interesting issues regarding the clinical and documentation implications of determining oxygen levels related to respiratory distress.
Review ICD-10-CM coding guidelines, query considerations, and documentation strategies for mental health claims.
With risk adjustment’s impact on reimbursement, review tips for accurate coding, compliant documentation, and timely responses.
Identify key challenges and concerns tied to the implementation of new CDI technologies across health systems.
Learn how HIM professionals can leverage data related to social determinants of health (SDOH) to improve patient care and secure proper reimbursement.
Dissect comments on the proposed HIPAA Security Rule update and get expert insights on preparation and compliance.
Review these tips to prepare for the increased use of artificial intelligence (AI) in risk management, coding accuracy, and audit workflows.
