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A major reason its so difficult to change physician behavior where coding and documentation are concerned is that many doctors see hospital coding as separate from their own practice and experience. So the key is to find a way to tie physicians coding to their own outcomes.
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As HIM professional needs evolve due to the changing health care industry and reimbursement issues, experts say the role of coders also must progress to more than a job that merely requires someone to assign a code.
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The federal investigation into alleged billing fraud and unnecessary surgeries at a Redding, CA, hospital has also shed new light on potential abuses of an unusual Medicare reimbursement mechanism designed to help hospitals that perform difficult procedures or care for very sick patients.
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The Oakbrook Terrace, IL-based Joint Commission on Accreditation of Healthcare Organizations (JCAHO) is significantly revamping its accreditation process to answer its critics and sharpen the focus of its accreditation process.
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Serious nosocomial infections should be considered sentinel events and thoroughly investigated, according to new information from the Joint Commission on Accreditation of Healthcare Organizations.
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Quality managers in health care are hearing more about Six Sigma, the quality improvement strategy that has been taking hold in other industries for years now, and the statistics-focused techniques promise great improvements for hospitals and other providers.
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The National Committee for Quality Assurance (NCQA) recently released draft standards for its Human Research Protection Accreditation Program (HRPAP) for public comment.
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Evaluating the continuity of patient care in ambulatory health care services is challenging. Continuity of care implies the progression of a predetermined plan for health care services without disruption of the plan. However, the ambulatory care client, unlike the hospitalized patient, is not as easily controlled, monitored, or guided through health care processes.
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Question: How long do we need to keep quality improvement (QI) and peer review documents before tossing them out? Im thinking of department or team QI reports, minutes from QI meetings, peer review worksheets with no adverse findings, and similar documents.
