This week's note from the instructor discusses the steps involved in the prior authorization process for certain hospital outpatient department services.
Accurate ICD-10-CM coding of human immunodeficiency virus (HIV) requires a clear understanding of the disease process, associated conditions, and provider documentation.
A new national cyber strategy places hospitals squarely inside the country’s critical infrastructure defense posture, elevating cybersecurity from an IT concern to what many healthcare leaders now view as a patient safety and operational continuity issue.
Denials are exposing operational weaknesses that extend far beyond reimbursement, and hospitals can no longer afford to treat them as an unavoidable cost of doing business.
It is no longer enough to confirm that a diagnosis is documented somewhere in the record. The documentation must also clearly demonstrate the clinical severity of the patient’s illness.
Some of the most significant HIPAA risks stem from the often overlooked processes where protected health information is collected, handled, and disposed of.
Coding for alcohol- and drug-related disorders requires careful attention to both clinical terminology and the structure of the ICD-10-CM classification system.
