Obtaining appropriate inpatient status orders for inpatient-only procedures can be difficult due to the EMR and written orders that are still in existence. Is it true that if the surgeon or attending physician orders observation/outpatient status after an inpatient-only procedure that we must bill as outpatient? Can we use our utilization review committee to overturn the observation/outpatient order in this scenario? Please advise.
With the new year comes a new federal administration and a new president. How will case management be affected, and what should case managers do to prepare for the changes that may come? There are a lot of questions, but almost no answers.
The implementation of ICD-10 in 2015 was considered an industrywide success. Coders were trained, HIM departments were prepared, and outsourced coding companies expanded their roles. As we enter the second year of ICD-10, what should HIM directors expect from their coding teams and outsourced vendor partnerships?
This week’s Medicare updates include the Cardiac Rehabilitation Incentive Payment Model final rule and changes to the Comprehensive Care for Joint Replacement Model, guidance for clinical laboratory data reporting, and more!
