Electronic health records may not be able to accurately determine case mix.

Friday, January 26, 2018

News

Study: EHRs not able to capture accurate risk, case mix data
Source: Revenue Cycle Advisor
Electronic health records may not be able to accurately determine case mix, according to a study published January 18 in the American Journal of Managed Care.
Tip of the week

"Healthcare Effectiveness Data and Information Set [reviews] let providers view the quality and effectiveness of each health plan for greater leverage during contract negotiations." 
- Greg Ford, director of requester relations and receivables administration for MRO.

 

Revenue Cycle Advisor Subscriber Content

Complex case: Discharged home with a heparin lock in place
Source: Revenue Cycle Advisor
Mr. Coin, a chronically ill patient, is being discharged to home. Although the discharge is complex, the transition to home is uneventful—until the case manager, Robin, receives a call from Mr. Coin's son, who tells Robin that her patient has been sent home with his heparin lock still in place.
 

Daily Q&A

Q&A: Documenting pleural effusion and congestive heart failure
Source: Revenue Cycle Advisor
Q: Can you explain when to code pleural effusion as a secondary diagnosis when it is present with congestive heart failure?

Need expert advice?
Email your questions for consideration in the Revenue Cycle Daily Advisor. Note: We do not guarantee that all questions will be answered.

 

Upcoming CMS Events

Tuesday 1/30- Q&A Open Forum: BPCI Advanced Model Overview and Application Process
Tuesday 1/30-  Long-Term Services and Supports Open Door Forum
Monday 2/5- The Merit-based Incentive Payment System: Annual Call for Measures and Activities
Tuesday 2/13- FY 2019 New Technology Town Hall Meeting
 

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The Strategic Impact of Laboratory Services in a Value-Based Environment

In this executive roundtable, panelists discuss how lab services can support an organization’s strategic plans and influence clinical and financial outcomes.

 
 

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