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Observation Services - Ensuring Every Dollar

Author: Canter, Kelly

Source: AHIMA Convention

Publication Date: October 02, 2011

Introduction

Inpatient medical necessity has become a very hot topic for the Recovery Audit Contractors (RACs) over the last 12 months. Due to the focus on medical necessity for inpatient admissions, proactive and reactive hospitals are scrutinizing their admission practices. Since there....

Reflections on Coding Compliance Program Effectiveness

Author: Johnson, Kathy M

Source: AHIMA Convention

Publication Date: October 02, 2011


Efficiency is about doing things right while effectiveness is about doing the right things. Effectiveness assesses whether the actual outcomes reflect the desired outcomes. Effectiveness begins upfront in the planning process - there is a need to clearly articulate the intent, desired outcomes....

Outpatient Wound Care – Keys to Getting Paid

Author: Hapner, Peggy

Source: AHIMA Convention

Publication Date: October 02, 2011


Ever since the Ambulatory Payment Classification (APC) system was launched, hospitals have struggled to receive the full appropriate reimbursement for outpatient wound care. Why? In many cases, the facility lacks adequate documentation to support coding and billing. And increasingly, medical n....

Word is Collaboration: How HIM, Revenue: Cycle, and Compliance Team Up for Success

Author: McDavid, Jan P; Truscott, Tricia; Crump, Dawn; Brocato, Lori

Source: AHIMA Convention

Publication Date: October 02, 2011

Background:

The need for HIM, Compliance and Revenue Cycle Management to work together is more important than ever. New initiatives, regulations and more stringent compliance demands are crossing the lines of various departments throughout the healthcare continuum. Departments which may....

Amendment, Corrections and Deletions Technical Paper

Author: Wiedemann, Lou Ann

Source: AHIMA Convention

Publication Date: October 02, 2011


The health record is the legal and business record of the healthcare organization. As such, ensuring accurate and timely doucmenation is paramount for information management. The Centers for Medicare and Mediciad services (CMS) has patient safety goals. A key component to this process is to ma....

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