Today, case managers and social workers have become cross-trained in many areas, creating ambiguity about the distinctive education they must use to support patients in different ways. A scoping exercise can serve as an objective way to determine team roles.
A recent study from The Dartmouth Institute for Health Policy and Clinical Practice found that accountable care organization (ACO) care management and coordination activities were not associated with improved outcomes or spending in patients with complex needs.
This week's note from the instructor discusses implementation of the Medicare Outpatient Observation Notice (MOON) and the implementation deadline, which is just a week away.
This week's note from the instructor discusses new guidance released by CMS regarding the Medicare Outpatient Observation Notice (MOON) form for hospitals and critical access hospitals.
This week’s Medicare updates include an update to the ICD-10-CM Coding Guidelines, the 2023 Medicare Advantage and Part D Advance Notice, additional FAQs on nursing home visitation, and more!
Employing clinical versus coding criteria for assigning or auditing an ICD-10-CM diagnosis code for malnutrition can have a significant impact on reimbursement. Use these tips to ensure appropriate documentation and coding.
Employing clinical versus coding criteria for assigning or auditing an ICD-10-CM diagnosis code for malnutrition can have a significant impact on reimbursement. Use these tips to ensure appropriate documentation and coding.
Employing clinical versus coding criteria for assigning or auditing an ICD-10-CM diagnosis code for malnutrition can have a significant impact on reimbursement. Use these tips to ensure appropriate documentation and coding.
A recent study gave some additional validation to CMS’ Acute Hospital Care at Home program, which was approved in November 2020 to lessen the burden on hospitals during the COVID-19 public health emergency.