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 how CDI programs can use diagnostic sequencing and medical linkage to enhance storytelling in documentation practices.
Discover what Cigna's new downcoding policy means for coding accuracy, audit readiness, and payer relations.
Hear expert insights on how HIM professionals should prepare to navigate heightened risk adjustment data validation (RADV) audit scrutiny.
Recognize how social determinants of health (SDOH) capture strategies and education are key to patient care, quality reporting, and reimbursement.
Discover how aligning role-based access control (RBAC) policies with clinical workflows can improve compliance and usability.
Analyze the recent expansion of non-pressure chronic ulcer codes and how it could impact data and documentation.
Analyze recent social determinants of health (SDOH) updates and strategies for continued capture.
