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Being a nationally recognized health care system certainly has its benefits, the most obvious being front-of-mind awareness and a favorable perception among potential patients.
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The Wilmette, IL-based Accreditation Association for Ambulatory Health Care Institute for Quality Improvement (AAAHC IQI) is seeking to provide quality improvement opportunities for health care professionals through a series of clinical performance studies, which began when the organization was established in 1999.
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Start asking questions about the way Medicare wants physical and occupational therapists to code group vs. individual therapy, and youll get a plethora of contradictory answers and some heated opinions to boot.
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Regardless of whether your hospital has embraced the methodology associated with the term revenue cycle management, chances are youve heard the words bandied about.
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In October 2002, HCA in Nashville, TN, won an $8.8 million arbitration decision against Humana Medical Plan Inc. of Florida for the late payment or nonpayment of 3,300 patient accounts at 16 hospitals in Florida.
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The 2003 Physicians Current Procedural Terminology (CPT) code set released Dec. 31, 2002, contained over 500 additions, revisions, and deletions. Getting updated by April 1 is no easy task, but should be a priority, as mistakes could result in lost reimbursement, says coding expert Glenda Schuler, RHIT, CPC, CPC-H, senior health care consultant at Ingenix in Salt Lake City.
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Remote coders can be used to bridge the gap created by staffing shortages and fluctuating workloads, but its up to HIM managers to ensure that they follow the rules, says Betty Hatten, MHS, senior associate at PriceWaterhouseCoopers in Dallas.
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When considering opportunities to improve financial performance, benchmarking may not immediately come to mind, but health care managers who have used benchmarking techniques to enhance the fiscal well-being of their institutions have found it to be invaluable.
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The Outpatient Prospective Payment System (OPPS) implemented on Aug. 1, 2000, was a significant turning point for hospitals, moving them from a cost-based reimbursement to a CPT-4 and HCPCS level II line item prospective payment methodology, referred to as Ambulatory Payment Classifications (APCs).
