This week's note from the instructor discusses the steps involved in the prior authorization process for certain hospital outpatient department services.
With no uniformly recognized standard or body of law on how to document the fair market value of compensation arrangements, it’s up to organizations to develop defensible internal methodologies. Use these expert tips and checklist as a template for your organization.
The Program for Evaluating Payment Patterns Electronic Report (PEPPER) is a rich source of data. Consider how to use the PEPPER to guide coding and CDI process improvements.
As commercial payer audits have increased, organizations have struggled to develop practical processes and consistent responses. Apply lessons learned from government audits to create processes that are unified and efficient.
CDI teams have had to adapt quickly to rapid changes. Understand how CDI leaders have modified practices to support their organizations, their teams, and their communities.
HIM directors’ and managers’ salaries have largely held steady, but the economic impact of the COVID-19 pandemic is making itself felt. Learn how your salary compares to your peers’ and what you can do to improve your earning power in the future.
Unintentional billing errors can occur even in the most vigilant organization. A comprehensive audit program can help detect these issues. Learn how to develop different types of audits to find and address errors.
From community chat hours to virtual events, these leaders are guiding HIM through the crisis and setting an example that HIM professionals can apply in their organizations. Find out how the HIM community is fostering innovation and building resilience.
