This week's note from the instructor discusses the steps involved in the prior authorization process for certain hospital outpatient department services.
HIM departments are increasingly being drawn into revenue recovery decisions while also being asked to help ensure coding and documentation workflows remain accurate, traceable, and defensible.
As coding teams collaborate across regions and contribute to shared quality and artificial intelligence (AI) evaluation initiatives, a common framework for measuring coding quality becomes essential.
Healthcare organizations have made substantial progress in exchanging health information, but greater connectivity is exposing another set of challenges for HIM departments.
CDI can serve as a valuable partner to quality and coding colleagues in understanding the technical details of patient safety indicators, which have a tangible impact on reputation, quality metrics, and financial outcomes.
HIM professionals have an increasingly important role in determining who can access protected health information (PHI), what information they can see, and how that access is monitored.
