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The pesky illness can be diagnosed properly by knowing the signs and symptoms and detecting it with pathology. Lyme disease is a common vector-borne illness in the United States, with more than 300,000 cases each year, according to the Centers for Disease Control and Prevention (CDC). The most prevalent areas for outbreaks are in the […]
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President Trump signed, June 24, an executive order “Improving Price and Quality Transparency in American Healthcare to Put Patients First” to address escalating healthcare costs and “surprise” billing. President Trump says in the order, “My administration seeks to enhance the ability of patients to choose the healthcare that is best for them. To make fully […]
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Follow these insider secrets to help ensure a successful virtual meeting. There’s a big change to local chapters this year, and chapter officers are thrilled to share the news. Virtual meetings are now underway, and we’re reaching out to more members than ever before. Because virtual meetings are new to local chapters, it’s a good […]
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There are the standard reasons medical claims are denied, such as putting the wrong modifier on a code or putting the diagnoses in the wrong sequence. But did you know that some reasons are not the fault of medical coding? 5 Ways Your Claim Can Be Denied Denials can be cause by more than an […]
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Meet outpatient quality reporting requirements or prepare for a payment reduction. Using Hospital Outpatient Prospective Payment System (OPPS) methodology, the Centers for Medicare & Medicaid Services (CMS) based 2019 OPPS payments on 2017 claims data submitted by hospital providers, resulting in an estimated 1.35 percent increase. Hospitals that fail to meet the hospital outpatient quality […]
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Both the 1995 and 1997 Evaluation and Management Documentation Guidelines define a review of systems (ROS) as an account of body systems obtained through a series of questions seeking to spot signs and symptoms that the patient may be experiencing, or has experienced. This query is made by the physician and/or the staffs verbally, or […]
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Certifications are certainly important building blocks to career success, but employers look for other skills when hiring, as well. To ensure our members are well-rounded, AAPC now provides online training for a variety of professional development subjects. Gain the Advantage There are many day-to-day skills you must have to work effectively and efficiently. In addition […]
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Make sure your staff knows and implements your policy on continuous observation of suicidal patients, check and recheck that air pressures are appropriate to the room, update infection control procedures to the latest recommendations, and be prepared for surprise surveys.
CMS wants to put a stronger spotlight on times when TJC and other AOs fail to find patient safety problems later discovered by CMS survey teams conducting performance checks referred to as validation surveys.
To do so, CMS has created a website that provides a graphic about the disparity rate of deficiencies found on validation surveys and then posts deficiency reports from hospitals it says have “recent substantial deficient practices.”