Auditing and monitoring, Clinical documentation, Health information management, Hospital outpatient, Questions and answers
During this program, expert speakers Jugna Shah, MPH, and Valerie A. Rinkle, MPA, cover frequently raised questions and discuss the impact of OPPS packaging on drug administration overall payments, the importance of reviewing your MAC’s local coverage determination guidance, and hot audit topics.
Auditing and monitoring, Clinical documentation, Health information management, Hospital inpatient
During this 60-minute webcast, Gloryanne Bryant, BS, RHIA, RHIT, CCS, CDIP, CCDS, AHIMA-approved ICD-10-CM/PCS trainer, will walk you through what industry studies have found regarding MS-DRG shifts in ICD-10 and the steps you can take to identify them within your organization.
Hyperbaric oxygen therapy (HBO) is a modality in which the entire body is exposed to oxygen under increased atmospheric pressure. CMS and other payers currently only reimburse for HBO to treat certain conditions. Gloria Miller, CPC, CPMA, vice president of reimbursement services for Comprehensive Healthcare Solutions, Inc., in Tacoma, Wash., provided these checklists to use to prequalify patients for HBO therapy.
Before billing an outpatient claim with Condition Code 44, coders need to verify certain information. Deborah K. Hale, CCS, CCDS, president of Administrative Consultant Service, LLC, in Shawnee, Okla, created this checklist of information needed before using Condition Code 44.
This prequalification checklist for hyperbaric oxygen (HBO) therapy candidates was created by Gloria Miller, CPC, CPMA, and provides information on what diagnoses qualify for coverage, and what additional information about the candidates is required.
Auditing and monitoring, Health information management
The Office for Civil Rights recently published its audit protocol for its current privacy and security audits. These protocols give healthcare organizations an inside look at the inspection process. Our sister publication, Briefings on HIPAA, recently published this breakdown of the audit protocols key activities.
