Hospital Payment Information Management 2002-11-01

Care and detail go a long way in preparing for Joint Commission survey

Every HIM director would like to receive praise from a surveyor of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) of Oakbrook Terrace, IL, following a survey.

Go beyond requirements; make positive impression

Its not always easy to make a good impression on a surveyor for the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) of Oakbrook Terrace, IL, but it can be done.

Guest Column: No isn’t always the last word; appeal denials

So your carrier/intermediary has denied too many Part A Medicare claims, and you are ready to take action. Thats great. The Medicare Part A appeals process currently found in chapter 42, Code of Federal Regulations (C.F.R.), Part 405.701-405.753 only appears to require a rocket scientist to decipher; in actuality, its pretty straightforward.

Hospital achieves 100% usage of CPOE system

Montefiore Medical Center, in Bronx, NY, has achieved a rare milestone: All inpatient orders including medications, lab tests, diagnostic tests, and all other clinical care orders are being entered electronically.

Is your documentation lacking key information?

Do you realize that the way you document can have a significant impact on the reimbursement your emergency department receives?

Use this checklist when you document

You should include the following elements in your documentation, according to Candace E. Shaeffer, RN, MBA, vice president of coding/ quality management at Lynx Medical Systems in Bellevue, WA:

PPS training helps make transition easier

Preparing and training staff for the rehab prospective payment system (PPS) over the past year has been a challenge for Glancy Rehabilitation Center in Duluth, GA, but the rehab hospital has met its goals.

Outsourced HIM now available through HPG

The HealthTrust Purchasing Group (HPG) recently announced plans to offer members outsourced health information management services. Working with Precyse Solutions, HPG says member facilities may procure clinical coding, oncology data management, cancer registry, HIM consulting, HIPAA gap analysis, and special projects (backlog filing, purges, etc.) services.

Change is slow, steady in CPOE market

While hospitals have not exactly fallen over themselves to install computerized physician order entry systems (CPOEs), a growing number are beginning to recognize their value, says Nick Beard, MD, MS, vice president of Health Informatics for Seattle-based IDX Systems Corporation, a provider of CPOE systems.

DRG Coding Advisor: ICD-9 code update requires more investigation by coders

Coders will be required to learn a variety of new ICD-9-CM codes for fiscal year 2003, as well as change the way they were using some existing codes.

Hospital Payment Information Management Archives – November 1, 2002

November 1, 2002