This week's note from the instructor discusses the steps involved in the prior authorization process for certain hospital outpatient department services.
A healthcare organization can terminate a vendor contract, disable accounts, shut down integrations, and move on to another technology provider. The information entrusted to that vendor, however, may not leave with the contract.
Learn how HIM leaders can align HIPAA with zero-trust principles, better manage third-party risk, protect patient care during cyber incidents, and prepare for a cybersecurity landscape increasingly focused on measurable outcomes.
Neonatal intensive care unit (NICU) reviews remain a bit of an albatross in the CDI community, with scarce educational resources, different clinical indicators, and a need to constantly change and adapt to keep up with an evolving field.
Review ICD-10-PCS updates that take effect in October, including changes to the Medical and Surgical, Administration, Extracorporeal or Systemic Assistance and Performance, and Imaging sections.
In the 2027 Medicare Advantage (MA) and Part D rate announcement, CMS highlighted risk adjustment accuracy, payment integrity, and accountability for diagnoses that drive reimbursement.
A recent report shows that HIM tasks are becoming increasingly susceptible to automation, but experts caution that AI exposure should not be confused with immediate job displacement.
Improving patient access starts with examining the operational processes behind every request—from intake and staff training to workflow monitoring and executive oversight.
