Documentation Rx. Strategies for improving physician contribution to hospital records.
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Humans↗
Biomedical subjects
Julie A Micheletti
Publications and source records attributed to Julie A Micheletti.
A proactive (and financially beneficial!) approach to utilization management.
Today's environment offers a host of utilization management challenges for healthcare providers. If hospitals are to minimize denials and reduce costs amid these pressures, they will need to adopt several key strategies, including effectively employing use of a dedicated physician adviser.
Chronic Disease↗
Time for a three-year APC checkup.
As hospitals near the end of their third year with APCs and the Medicare outpatient PPS, it's important to reflect on past successes and prepare for the management strategies that will be needed for tomorrow. Particularly important will be reinforcing the importance of interdepartmental cooperation, especially as it relates to new documentation and coding requirements, observation and emergency department protocols, E/M classifications, registration processes, and medical staff involvement.
Documentation↗
10 tips for avoiding APC traps.
To encourage proper payment and avoid imposition of penalties by the Office of Inspector General, providers need to prioritize outpatient compliance efforts. Departments should be accountable for reconciling outpatient code editor edit failures. Evaluation and management code assignment should be examined for inter-rater reliability. Transitional pass-through items should be audited routinely; associated coding should be kept current. Consideration should be given to meeting medical necessity requirements, particularly for mental health services.
Ambulatory Care↗