A one-size-fits-all approach to case management and patient care can be detrimental to patients and the case management profession, but so too can designing a new approach to care plans for every patient who walks through the door, according to an article in CMSA Today.
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The benefits of evidence-based patient care
Source: Revenue Cycle Advisor
A one-size-fits-all approach to case management and patient care can be detrimental to patients and the case management profession, but so too can designing a new approach to care plans for every patient who walks through the door, according to an article in CMSA Today.
3 legal considerations about physician pay
Source: HealthLeaders Media

Don't change a thing about your physician compensation plans before taking these proactive steps. 
Platinum Awards call for nominations begins

The Platinum Awards sets the standard for recognizing professionals and organizations who demonstrate success in the overarching healthcare continuum.

Like no other awards program in the industry, the Platinum Awards brings professionals and organizations together to highlight their work, be publicly recognized, celebrate successes and collectively recognize that working as a team can ensure a safe, quality and sustainable healthcare system.
 

Revenue Cycle Advisor Subscriber Content

Best practices for edit management
Source: Revenue Cycle Advisor
Root cause analysis of edits and an understanding of the relationship between the chargemaster and HIM/coding must be supported by overarching principles and best practices for edit management. Processes should be built around the timing of edits, applying edits across payers, and denial management.
 

Daily Q&A
Q&A: Coding adverse effects versus poisonings
Source: ACDIS
Q: I’m trying to decide between the codes F14.121 (cocaine abuse with intoxication with delirium) and T40.5X5A (adverse effect of cocaine, initial encounter). The patient presented to the emergency department with altered mental status. The physician documented that the patient's delirium is likely due to toxidrome from cocaine. Which code would be more appropriate?

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Thursday 11/2 - Definition of a Hospital: Primarily Engaged Requirement
 

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Clinical Validation: Building Your Case and Defending Against Audits

This free, 60-minute webinar from ACDIS reviews common clinical validation opportunities and methods for effective query development and denial defense.
 
 

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