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Displaying records 1 to 20 out of 3152 results for "outpatient review".
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SORT RESULTS BY: RELEVANCY | PUBLICATION DATE
SEPTEMBER 24, 2014
JUSTCODING
In 2012, CMS established the Hospital Outpatient Payment Panel as an independent review en
Does your facility perform outpatient clinical documentation improvement (CDI) reviews?
SEPTEMBER 3, 2014
JUSTCODING
Does your facility perform outpatient clinical documentation improvement (CDI) reviews?
SEPTEMBER 10, 2014
JUSTCODING
Outpatient coding and billing errors led to more than half of all automated denials by Recovery
OIG posts Medicare Compliance Review of Saint Luke's Hospital On Augus
  Part B Outpatient Therapy Q&A
Drug administration is one of the most common services provided in the outpatient setting,
APRIL 29, 2015
JUSTCODING
OCTOBER 29, 2014
JUSTCODING
Health Professional Shortage Area (HPSA) Post-payment Review Process
In FY 2014, the OIG is setting out to review some aspects of billing and payments that were not i
There will be no issue of JustCoding News: Outpatient published the week of October 15. The next
OCTOBER 1, 2014
JUSTCODING
In the final 2018 outpatient prospective payment system (OPPS) rule released by CMS, total knee a
MARCH 15, 2019
By Debbie Mackaman, RHIA, CHCO   Hospital outpatient t
JUNE 11, 2014
JUSTCODING
Q: Do any general guidelines exist for queries on outpatient services? We are beginning
OCTOBER 29, 2014
JUSTCODING
Health Professional Shortage Area (HPSA) Post-payment Review Process On March 25, CM
Health Professional Shortage Area post-payment review process On March
Q: An auditor recently reviewed our outpatient ED claims and told us that we canno
Medicare Compliance Review of Saint Luke's Hospital of Chesterfield for 2011 and 2012
Medicare Compliance Review of Saint Luke's Hospital of Chesterfield for 2011 and 2012
Medicare Compliance Review of Saint Luke's Hospital of Chesterfield for 2011 and 2012
  Most improper payments for diagnostic nasal endoscopies reviewed during a Compre
SEPTEMBER 30, 2015
JUSTCODING
In December 2014, CMS posted a document on its Advisory Panel on Hospital Outpatient Payme
Outpatient procedures will still be coded using CPT®/HCPCS—the HIPAA-
DECEMBER 10, 2014
JUSTCODING
This book is a comprehensive self-inspection guide for outpatient medical practices. Safety offic
JULY 15, 2015
JustCoding News: Outpatient will not publish next week. JustCoding News: Inpatient will publish a
MARCH 25, 2015
JUSTCODING
An outpatient clinical documentation improvement (CDI) program should be aligned with a fa
Q: We are an independent outpatient end-stage renal disease clinic. When we administer a blo
NOVEMBER 11, 2015
JUSTCODING
You ask the following question: Is it legal for the outpatient therapy agency to provide services
DECEMBER 17, 2014
JUSTCODING
  Medicare Review: Ways to evaluate claims
OCTOBER 2, 2015
Those who are interested in using ICD-10-PCS for outpatient hospital coding may question w
A bill that would have allowed outpatient joint replacement surgery in the state of Wyoming didn
“I’m scared to death to practice outpatient medicine. I don’t feel prepa
DECEMBER 12, 2014
“As hospitals employ more and more outpatient practitioners, adequate vetting of competenc
MARCH 24, 2016
Is your organization planning to code outpatient procedures using ICD-10-PCS as well as CPT®
MAY 6, 2015
JUSTCODING
Is your organization planning to code outpatient procedures using ICD-10-PCS as well as CPT®
MAY 13, 2015
JUSTCODING
By Steven Andrews Outpatient coding and billing errors lead to more than half of all au
Who can conduct the (medication) review? The regulations require a drug
  Unannounced audit! What do you need to review first?
DECEMBER 14, 2016
  How to make the most of your Medicare Review
AUGUST 8, 2017
  What to do when you are under medical review
OCTOBER 13, 2017
SEPTEMBER 23, 2015
JUSTCODING
What should the (medication) review include? The language in the regula
We are looking for reviewers for our 2017 book projects. If you’re interested in participa
JANUARY 12, 2017
Hospital outpatient therapeutic services, such as ED or clinic visits, that are paid under
AUGUST 19, 2015
JUSTCODING
APRIL 2, 2014
JUSTCODING
MARCH 19, 2014
JUSTCODING
APRIL 30, 2014
JUSTCODING
MAY 14, 2014
JUSTCODING
JULY 9, 2014
JUSTCODING
Q:  Should a blood tranfusion received at an outpatient clinic be coded on the
AUGUST 20, 2014
JUSTCODING
OCTOBER 1, 2014
JUSTCODING
MAY 20, 2015
JUSTCODING
The American Hospital Association calls CMS’ proposed 2% reduction in outpatient payments &
The OutpatientCodeEdit/OCEQtrReleaseSpecs.html
FEBRUARY 18, 2015
JUSTCODING
When outpatient hospitals and physicians switch to ICD-10-CM diagnosis codes October 1, 20
Is it possible for a patient receiving home health care to also receive outpatient pulmon
How does an agency keep the drug review up to date? The regulations req
April 2014 update of the hospital outpatient prospective payment system (OPPS)
  Manual medical reviews for therapy shift to a targeted approach, but questions remain
APRIL 15, 2016
We are still looking for participants for our Nursing Book Review Group! Now is your chance to j
APRIL 21, 2016
  CMS is hosting a live webcast for SNFs: How review and correct reports fit into quality repor
  The Skilled Nursing Facility Quality Reporting Program Review and Correct reports are availab
Which medications are subject to review?   A clinician must
During the recent webcast, review-seven-challenges-for-tod
  When outpatient hospitals and physicians switch to ICD-10-CM diagnosis codes Oct
MAY 14, 2014
JUSTCODING
Nursing peer review committees operating in good faith are protected from incurring civil liabili
APRIL 17, 2015
What documentation is necessary for a medication review? The regulation
The Centers for Medicare & Medicaid Services (CMS) has announced that the pre-claim review de
The Advisory Panel on Hospital Outpatient Payment (HOP Panel) summer meeting
Performance review time is never easy. Managers have the uncomfortable task of assessing their te
FEBRUARY 18, 2016
  Patients are turning to online review websites such as Yelp, Healthgrades, and R
NOVEMBER 20, 2014
JUNE 11, 2014
JUSTCODING
JUNE 25, 2014
JUSTCODING
MAY 28, 2014
JUSTCODING
SEPTEMBER 3, 2014
JUSTCODING
NOVEMBER 12, 2014
JUSTCODING
NOVEMBER 26, 2014
JUSTCODING
NOVEMBER 26, 2014
JUSTCODING
True or false: When a patient has been seen in the outpatient clinic for a minor eye infection an
DECEMBER 2, 2014
DECEMBER 10, 2014
JUSTCODING
DECEMBER 23, 2014
JUSTCODING
JANUARY 7, 2015
JUSTCODING
JANUARY 21, 2015
JUSTCODING
JULY 23, 2014
JUSTCODING
APRIL 15, 2015
JUSTCODING
MARCH 18, 2015
JUSTCODING
FEBRUARY 18, 2015
JUSTCODING
FEBRUARY 4, 2015
JUSTCODING
APRIL 29, 2015
JUSTCODING
MAY 13, 2015
JUSTCODING
JULY 8, 2015
JUSTCODING
CMS released OutpatientCodeEdit/OCEQtrReleaseS
APRIL 29, 2015
JUSTCODING
NOVEMBER 20, 2013
JUSTCODING
Q: Is there an industry standard metric goal for CDI specialist reviews of Medicare cases?
MAY 28, 2014
JUSTCODING
MAY 21, 2014
JUSTCODING
JUNE 4, 2014
JUSTCODING
JUNE 11, 2014
JUSTCODING
Hospitals are experiencing more outpatients in their units. Even for inpatients, hospitals freque
NOVEMBER 5, 2014
JUSTCODING
CMS finalized several changes to the Hospital Outpatient Quality Reporting (OQR) program i
The period for physicians to review and dispute financial information reported under CMS&r
APRIL 9, 2015
The Hospital Guide to Contemporary Utilization Review is a comprehensive resource designed to ide
SEPTEMBER 15, 2015
Q: How many people should be involved in reviewing a medical record?
During HCPro’s webcast review-seven-challenge
FEBRUARY 20, 2015
As of April 1, 2017, the Pre-Claim Review demonstration will be paused for at least 30 days in Il
A Q&A around drug regimen review items was provided by CMS.   CMS’
SEPTEMBER 3, 2014
JUSTCODING
Last week we launched our patient safety and quality book review group and we thank everyone who
AUGUST 12, 2015
Last week we invited you to join our nursing book review group and we thank everyone who has exp
JULY 30, 2015
Hazards posed by batteries and alcohol preps prompt a review of fire safety issues in clinics
AUGUST 20, 2014
JUSTCODING
NOVEMBER 19, 2014
JUSTCODING
Concerns about the safety of outpatient surgery centers have mushroomed since the highly publici
Both hospital inpatient and outpatient payments require substantial increases in payments in fisc
Joan Rivers’ daughter has filed a malpractice lawsuit against the Manhattan outpatient cli
The following is an excerpt from review-second
SEPTEMBER 21, 2017
Physicians have until May 15 to review and file any necessary disputes regarding their financial
APRIL 28, 2016
For agencies in states that haven’t started Review Choice yet, what kind of questio
During the second review, program directors, faculty, and coordinators will thoroughly review the
OCTOBER 25, 2013
Struggling with utilization review (UR) at your organization?   Check out
When we previously discussed post-interview reviews of letters of recommendation (LOR) and perso
APRIL 28, 2017
DECEMBER 3, 2014
JUSTCODING
If you’re looking for a better way to track peer review cases, mark Tuesday, June 10 on yo
Dear readers, HCPro is researching a book that would include peer review benchmar
MARCH 3, 2016
A recent poll of parents found that a majority of them are concerned that online reviews of physi
MARCH 24, 2016
To date, Clinical Learning Environment Review (CLER) visits are scheduled to occur every 18 to 2
OCTOBER 27, 2017
The Hospital Guide to Contemporary Utilization Review is a comprehensive resource design
DECEMBER 22, 2015
In CMS’ targeted probe-and-educate review, MACs will send ADRs to agencies that struggled
Understanding OPPE, part 1: Peer review by any other name
DECEMBER 1, 2014
DECEMBER 23, 2014
JUSTCODING
SEPTEMBER 30, 2015
JUSTCODING
Q: We have a physician who is sending patients to our outpatient clinic to receive
SEPTEMBER 24, 2014
JUSTCODING
CMS will not conduct post-payment patient status reviews for admis
The policies and administrative practices of the agency are reviewed to determine the extent to w
by Josh Poltilove Agencies seeking to pass CMS’ Review Choice Demonstratio
The role of the utilization review (UR) committee has changed as facilities move to reporti
What needs to be signed by the physician before we submit under the Review Choice Demonst
In the OutpatientCodeEdit/Downloads/FinalSumof
NOVEMBER 12, 2014
JUSTCODING
Semi-Annual Meeting of the Advisory Panel on Hospital Outpatient Payment (HOP
A British report from the Review on Antimicrobial Resistance predicts that unchecked, superbugs c
DECEMBER 16, 2014
On June 7, the OIG posted a report stating it reviewed CMS’ administration of the Pioneer A
Palmetto GBA announced it will conduct pre-payment, service-specific, probe medical review on Hos
APRIL 2, 2014
JUSTCODING
I have some questions regarding the CMS Instruction for Medical Review on Home Health Ce
Medicare Boot Camp®—Utilization Review Version  
During the recent webcast, review-seven-challenges-for-tod
APRIL 30, 2015
A pharmacist must review all medication orders prior to the medication being dispensed exc
APRIL 22, 2014
The New Jersey Attorney General's Office has advised South Jersey prosecutors to review all auto
An automated Recovery Auditor review of discharge status codes identified improper payment
MAY 6, 2015
JUSTCODING
Can you give a review of how the proposed CoPs might change things? The agency mu
The quality measure “drug regimen review conducted with follow-up for identified issues&rdq
Medicare Boot Camp®—Utilization Review Version  
Medicare Boot Camp®—Utilization Review Version
Regardless of the clinical background of those responsible for reviewing documentation, it can be
by Kirsten Dize As the Review Choice Demonstration (RCD) expands, agencies in Oh
Q: Our physicians have started performing endomyocardial biopsies on an outpatient
Q: Do you have any advice or guidance on how to conduct chart reviews for beginners in CDI
Pre-claim review pilot goes live in Illinois—2 days late
Medicare Boot Camp®—Utilization Review Version
Medicare Boot Camp®—Utilization Review Version
Of the 394 sentinel events reviewed by The Joint Commission in the first half of 2014, unintended
SEPTEMBER 30, 2014
Join us at 1 p.m. (Eastern) Thursday, November 13, to review the big changes coming for modifier
Join us at 1 p.m. (Eastern) Thursday, November 13, to review the big changes coming for modifier
Join us at 1 p.m. (Eastern) this Thursday, November 13, to review the big changes coming f
Proposed legislation would require the Secretary of State to accelerate the review process
NOVEMBER 21, 2014
Back my popular demand! Join us at 1 p.m. (Eastern) Wednesday, January 7, to review the big chang
Two more studies reviewing resident work hour restrictions land squarely in the middle of the lon
MARCH 11, 2015
Providers may want to review claims containing HCPCS code C2623 (catheter, transluminal an
After years of research, debate, and Food and Drug Administration review, the federal agency will
SEPTEMBER 30, 2015
This therapy M item should be reviewed once all initial orders have been received by the agency f
M2001 (Drug regimen review) is among the most time-consuming items currently on the OASIS, surpa
OCTOBER 7, 2015
JUSTCODING
In many states, the incident report can be reviewed by the plaintiff's attorney. Therefore, it is
SEPTEMBER 3, 2015
In many states, the incident report can be reviewed by the plaintiff's attorney. Therefore, it i
FEBRUARY 14, 2019
MARCH 18, 2015
JUSTCODING
MARCH 11, 2015
JUSTCODING
MARCH 4, 2015
JUSTCODING
FEBRUARY 25, 2015
JUSTCODING
A Recovery Auditor automated review of claims for cardiovascular nuclear medicine procedur
APRIL 29, 2015
JUSTCODING
by Josh Poltilove CMS’ supplemental medical review contractor (SMRC) has beg
A review of more than 2,000 neurosurgical cases published in the
NOVEMBER 30, 2017
A review of more than 2,000 neurosurgical cases published in the
NOVEMBER 28, 2017
Q: We perform electrophysiology (EP) studies in our catheterization lab for outpatients
JULY 30, 2014
JUSTCODING
Q: I am a coder in a hospital outpatient setting. Our physicians document drug use in s
JULY 22, 2015
JUSTCODING
Agencies should consider implementing a Utilization Review (UR) model or a clinical manager as a
As a nurse manager, how often do you review the duties and responsibilities laid out in your staf
JULY 2, 2015
  As a nurse manager, how often do you review the duties and responsibilities laid o
JUNE 24, 2015
Q: Is there guidance on reviewing a record, such as an operative note, that has not been sig
NOVEMBER 4, 2015
JUSTCODING
Medicare Boot Camp—Utilization Review Version is an i
AUGUST 5, 2015
JUSTCODING
A Recovery Auditor review of claims from September 25, 2012, to August 30, 2013, found pro
SEPTEMBER 16, 2015
JUSTCODING
In the fall of 2015, the ACGME Board of Directors began a complete review of the Common Program
JANUARY 13, 2017
Managers should not assume that they can review every guideline, every item in Coding Clinic,
Thank you to everyone who has volunteered to review the results of the 2017 Residency Coordinato
AUGUST 10, 2018
After CMS review, The Joint Commission has finally prepublished revisions to the Emergency Manage
Review agency policies and procedures around infection control and update them. D
Dear readers, Have you reviewed the ACGME’s
MARCH 9, 2018
The public use file is a file that is used by policymakers and researchers that review the fee-fo
If you haven’t seen the OIG report “Medicare Compliance Review of University of Cinc
At the close of fiscal year 2013, nearly 5,000 claims denials remained pending review at the Departm
At ACDIS we’re seeing more and more departments expand their medical record reviews to focu
MARCH 25, 2015
JUSTCODING
Q: Is there guidance on reviewing a record, such as an operative (OP) note, that has
Last summer, we asked you to join our Nursing Book Review Group and the response was overwhelmin
MARCH 17, 2016
Last summer, we asked you to join our Nursing Book Review Group and the response was overwhelming
MARCH 10, 2016
Join us August 18 at 1:00 p.m. (Eastern) for this 90-minute webcast for a comprehensive review of
Reviewed by Mary Ellen Conway, RN, BSN A home health agency depends on i
You should review the final CoPs and the draft interpretive guidelines. Sections
October 2014 update of the hospital outpatient prospective payment System (OPPS)
October 2014 update of the hospital outpatient prospective payment System (OPPS) On
MARCH 4, 2015
JUSTCODING
Semi-Annual Meeting of the Advisory Panel on Hospital Outpatient Payment (HOP Panel)
Terms of use synopsis
SEPTEMBER 4, 2008
In the fall of 2015, the ACGME Board of Directors began a complete review of the Common Program R
JANUARY 13, 2017
Medicare’s Pre-Claim Review Demonstration (PCR) rollout has been anything but smooth, with
The battle over timely reviews for Medicare claims denials continues despite a federal court&rsqu
There is one phenomenon in the PPS that has caught the attention of medical reviewers.
Many CDI programs understand the need to expand their reviews beyond CC/MCC capture rates. But wh
In a paper that will be published in a future issue of American Economic Review, Ma
MARCH 20, 2015
Hospitals under fire to review and revamp their policies and procedures in the wake of dangers f
DECEMBER 22, 2016