Hierarchical Condition Categories (HCCs) were first implemented by the Centers for Medicare and Medicaid Services (CMS) in 2004 as a payment model that adjusts for risk of mortality (ROI) and severity of illness (SOI).
Category: Tips & Trends
New Year’s Resolutions by Cathy Massaro MSW, CCM, MPU Education SME Who ever thought that making New Year’s resolutions was a good thing to do after surviving the holiday season starting with Thanksgiving in November? We have already had too much to drink, eaten even more, spent extensive time with people we rarely see …
Medical Necessity* is likely: Is being discharged to a skilled nursing facility Meets “bed confined status: Unable to get-up from bed without assistance Unable to ambulate, and Unable to sit in a chair or wheelchair Has at least one other commonly documented medical necessity condition Medical necessity is possible, but patient condition must be thoroughly …
What Will Medicare Part A Cover for Hospitalization in 2019? Submitted by Cathy Massaro MSW, CCM, MPU Education SME 2019 Medicare Hospital Insurance Numbers Part A Hospitalization: Semi-private room and board, general nursing and other hospital services and supplies.
Songs to Do CPR By Susan Schmunk, CSTR, CAISS Have you ever thought that you wouldn’t be able to do CPR if you were called to? There is a collection of songs on Spotify, “Songs to do CPR to” playlist, that may help you.
Susan Schmunk, CSTR, CAISS According to the Centers for Disease Control (CDC) on average, every day, 300 children ages 0 to 19 are treated in emergency rooms across the country for burn-related injuries and two children die as a result of being burned.
NCCI Edit Resolution In Three Easy Steps Lynn Thornton, RHIA, CCS HIM IMEducation & Compliance Manager Are you stymied by NCCI Edits? Do you really understand the meaning of modifier indicator (1) on the NCCI Procedure to Procedure (PTP) Edit Tables? What about the edit rationales? Are you able to navigate the tables and …
What Makes a Good Data Manager? As the volume of data at healthcare organizations continues to expand, there has become an increased demand for data managers to interpret and manage this body of information.
Stand out as an HIM Candidate As demand for healthcare professionals becomes greater, there are a growing number of people entering the health information management (HIM) field.