News

Three recent studies look at the impacts of the social determinants of health and how they are mitigated in various programs across the country that provide healthcare services in places like economically disadvantaged communities and affordbale senior housing.

By Tracey A. Tomak, PMP, RHIA

It’s nearly time to head back to the National Association of Healthcare Revenue Integrity’s 2018 Revenue Integrity Symposium, and I couldn’t be more excited. I attended and presented at last year’s symposium and came back with a wealth of information to share with my colleagues.

Q: How can we help our physicians improve their documentation of medical necessity?

Q: We're seeing an increase in the volume of medical record requests from external auditors. How can we ensure that the information in the records is accurate, timely, and available to meet auditors' demands?

Protected health information of approximately 19,000 current and former employees of Toyota Industries North America Inc., headquartered in Columbus, Indiana, was exposed in a security incident, the company reported in a September notice.

Q: Can I bill a global surgical package for a patient who transferred from another practice very early in her pregnancy?

Q: I went to a clinic and they asked to scan my driver’s license. They told me it was federal law and that I could not keep my appointment if I did not let them scan it. Were they right?

Q: As a case manager, what do I need to know about advance beneficiary notices?

By Ralph Wuebker, MD, MBA

The healthcare revenue cycle is changing at break neck speed. Staying up to date on CMS regulations as well as overall payer trends is critical in this time. The National Association of Healthcare Revenue Integrity’s 2018 Revenue Integrity Symposium is one of the best conferences for unbiased education on essential healthcare revenue cycle and revenue integrity topics.

The powerful data analytic tools used for predicting patients at risk for high healthcare utilization, healthcare costs, and mortality are essential to a successful population health model of care.