According to a report published by Change Healthcare, 23.9% of claim denials are due to errors during front-end revenue cycle processes such as registration and eligibility.
Case managers are thought of as effective communicators, often serving as the liaison between patients, families, payers, and hospital staff. But as case management departments rely more heavily on virtual tools in the workplace, case managers’ relational skills are compromised, according to CMSA Today.
The protected health information of more than 16,000 individuals was breached after hackers gained access to data from a Maryland-based clinic group as part of a phishing scam.
Q: Our vascular physician prescribes exercise to some of his patients who have peripheral artery disease. He wants to provide the exercise program in the office, because he wants to have these patients monitored closely for their response, due to the nature of the disease. Is there a way to get reimbursed for this since it is a therapeutic procedure for these patients?
Q: A patient in the emergency room (ER) recently complained that she could hear the doctor and nurses discussing details of care of the patient in the bed next to hers. I understand that we should avoid disclosures, but the ER is often noisy and chaotic. How should we handle this situation?
Physician specialist payments could vary as much as 29% by 2020 under the Merit-Based Incentive Payment System (MIPS), according to the October 5 press release by Avalere. This is due to CMS’s proposal to include Medicare payments for Part B drugs in the calculation of the MIPS payment adjustment.
A one-size-fits-all approach to case management and patient care can be detrimental to patients and the case management profession, but so too can designing a new approach to care plans for every patient who walks through the door, according to an article in CMSA Today.
