This week's note from the instructor discusses the steps involved in the prior authorization process for certain hospital outpatient department services.
Denise Williams, COC, CHRI,senior vice president of Revant Solutions in Raleigh, North Carolina, details the process of setting clear room rate policies.
Healthcare organizations often house the release of information (ROI) function within the HIM department. However, ROI programs may exist in other departments such as radiology, clinics, home health, and patient financial services. Consider the benefits of different models for various organization types.
Acute kidney injury (AKI) is a sudden decrease in kidney function that can have serious consequences. Follow these tips to ensure accurate clinical validation and coding for AKI for effective patient care and appropriate reimbursement.
One of the most important, and sometimes one of the most challenging, initiatives for providers is the National Correct Coding Initiative’s procedure-to-procedure edits. Consider this expert insight on how to apply them and their role in ensuring correct coding.
Learn about the changing landscape of physician documentation and its critical significance in supporting accurate reimbursement, coding, quality measures, and resource allocation.
Chronic migraines and epilepsy can be complex diagnoses that require thorough documentation. Review recent ICD-10-CM code updates for these conditions to ensure they're reported correctly.
