“Cross recovery” may not be a hot compliance focus area for federal and state auditors at the moment—but stricter scrutiny is on the horizon, says healthcare management consultant Duane C. Abbey. And because the cross recovery issue can rear its ugly head in a number More..
Is your hospital taking steps to protect suicidal patients from ligature risks? If not, you will now face an immediate jeopardy deficiency citation. The Conditions of Participation (CoPs) for hospitals includes numerous sections, but the section that’s earning hospitals the most deficiencies is Patient’s Rights More..
Embezzlement is a depressingly common problem for medical offices, with Healthcare Management Systems reporting that three out of four physicians will suffer a significant loss due to theft in their careers—and, further, that the theft is typically fraud perpetrated by a trusted employee. Medical consultant More..
A quick Google search for the term “medical necessity” doesn’t turn up anything you don’t already know. In fact, most sites give some version of this definition: “health care services that a physician, exercising prudent clinical judgment, would provide to a patient.” The definition’s vagueness More..
The medical community has embraced the use of portable devices in health care settings—smartphones, tables, and laptops—both for personal and business uses. This convenience, however, comes with a major caveat—by using portable tech, staff may be violating the Health Insurance Portability and Accountability Act (HIPAA). More..
According to the Centers for Disease Control and Prevention (CDC), on any given day, about one in 25 hospital patients has at least one healthcare-associated infection (HAI). The good news is that awareness and prevention strategies work to decrease HAI rates by more than 70 More..
The opioid epidemic is officially a public health emergency, and more than 100 people are dying in the U.S. each day from opioid-related overdoses. Millions of dollars are being earmarked not only for treatment but also for monitoring requirements under which healthcare organizations are obliged More..
As the Centers for Medicare & Medicaid Services (CMS) continues its crackdown on hospice billing, you can expect increasing denials and ever-harsher scrutiny of your claims. And this is why, now more than ever before, you need to stay current on the most prevalent hospice More..
Making costly coding mistakes when reporting shoulder surgical procedures is, sadly, rather easy. After all, you have a whole host of complex coding rules to follow – not to mention the major coding and documentation changes that have come down the pike for 2018. From More..
From differentiating between biopsy and partial mastectomy to reporting image-guided biopsies, including placement of radiological markers, coding for breast procedures is nothing short of mind-bending at times. And the Centers for Medicare & Medicaid Services’ (CMS’) recent changes to breast-related CPT and ICD-10 codes doesn’t More..