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How can case managers ensure they are effectively capturing discharge details during rounds?

What factors should hospitals consider when staffing and budgeting for the patient access department?

Q: We are having trouble determining what qualifies a patient as having an acute myocardial infarction (MI) and what documentation would support the diagnosis. Can you help our coding team clarify?

The OIG will be scrutinizing how CMS collects overpayments, according to a recent update to its Work Plan. The agency will be looking at whether CMS followed recommendations to improve and increase collections.

With new attention on the care continuum, many new roles are being created to both complement the comprehensive needs of patients and ensure that licensed individuals have the opportunity to work at the top of their license.

If a patient is moved from one acute care facility to another acute care facility, would this be treated as a transfer or a discharge?

What methods can patient access use to screen patients for payment plan programs?

Q: I'm in charge of a coding audit for our department for the first time and trying to determine how many cases to use as a sample. What factors should I consider when choosing the sample?

Implantable automatic defibrillators could come under increased scrutiny as part of the CMS audit program.

Case managers in the primary care setting are on the rise, in part due to the role they play in patient engagement as well as the emphasis they place on quality of care in today’s value-based healthcare landscape, according to CMSA Today.