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Click here to download UASI’s client newsletter from the second quarter of 2021.
By: Natalie Sartori, M. Ed., RHIA, CCS This whitepaper is the first in a 2-part series regarding UASI inpatient and outpatient analyses of third party compliance work plans (including the OIG and RACs for example). This document details an analysis of the following active inpatient topics: Medicare Payments for Inpatient Discharges with COVID-19 (OIG) Deep… Read More »UASI Compliance Work Plan Analysis – Inpatient Documentation and Coding Issues
By Mary H. Stanfill, MBI, RHIA, CCS, CCS-P, FAHIMA; Pat Maccariella-Hafey, RHIA, CDIP, CCS, CCS-P, CIRCC; Christi LeBlanc, MBA, RHIA; and Janice Noller, RHIA, CDIP, CCS, CICA When COVID-19 emerged in early 2020, new ICD-10-CM codes to identify this condition were not available. Subsequent ICD-10-CM codes and guidelines for reporting COVID-19 changed many times as the pandemic… Read More »UASI in JAHIMA: COVID-19 ICD-10-CM Coding Timeline for Outpatient Services
Click here to download UASI’s client newsletter from the first quarter of 2021.
It has become increasingly important for health information management (HIM) departments to have strategies for tackling denials management. It is in every organization’s best interest to develop a proactive approach to denials management. While many are already doing this work, consistent and constant management of the denials process is essential. The following list—while not exhaustive—includes… Read More »UASI in JAHIMA: Top Ten Tips for Denials Management
Click here to download UASI’s client newsletter from the fourth quarter of 2020.
Click here to download UASI’s client newsletter from the third quarter of 2020.
Top Documentation and Coding issues to include in 2020 Compliance Plans What’s in your 2020 compliance plan? Make sure you are addressing these top ten documentation and coding compliance concerns. For Hospitals Risk-based review of inpatient DRG cases, examples include: RAC DRG targets Clinical indicators, cases at risk for clinical denials (e.g. Sepsis, CHF, ARF,… Read More »Top 10 Compliance Issues 2020
The Centers for Medicare & Medicaid Services (CMS) lifted Medicare restrictions on the use of telehealth services during the COVID-19 emergency. TELEHEALTH FACTS: Effective March 1, Medicare will pay physicians for telehealth services at the same rate as in-person visits for all diagnoses, not just services related to COVID-19 Medicare patients can receive telehealth services… Read More »Important Telehealth Coding Advice during COVID-19
Click here to download UASI’s client newsletter from the second quarter of 2020.
In order to ensure the accuracy and reliability of administrative COVID-19 data capture for both internal and external uses, HIM professionals should follow best practice steps. The application of best practices in the steps below give examples using data coded with the standard transaction code sets. However, these steps are repeatable to explore logical, expected… Read More »COVID-19 Data Quality Best Practices
General best practices for interactive data quality management in both inpatient and ambulatory care settings involve the following iterative steps. Identify specific data elements that can be or should be collected for a specific data capture need. This includes identifying all relevant data fields, data types, data definitions, and the associated data values using the… Read More »Data Quality Management Best Practices