Health

Category Archives: Health

OBESITY AND BARIATRIC SURGERY

Obesity is a chronic disease involving an excessive amount of body fat that poses a significant threat to human health; and more and more Americans are feeling the effects of it. In fact, the U.S. Surgeon general describes obesity as being at epidemic proportions. 35 percent of women and 31 percent of men are considered seriously … Continue reading OBESITY AND BARIATRIC SURGERY

MOHS SURGERY

Mohs surgery is a surgical procedure used in the treatment of skin cancer. During surgery, thin layers of cancer comprising skin are removed and analyzed until just cancer-free tissue remains. Surgery is known as Mohs micrographic surgery. The objective of this operation is to remove as much of your skin tumor as possible while doing … Continue reading MOHS SURGERY

AMBULATORY SURGERY CENTERS

Ambulatory surgery centers (ASC) are health care facilities that provide patients the convenience of having procedures and surgeries performed outside the hospital setting. Since their inception ASCs have shown an exceptional capacity while reducing costs, to increase quality and customer service. As an exception to the rule, ASCs stand out at a time when developments … Continue reading AMBULATORY SURGERY CENTERS

METASTATIC COLORECTAL CANCER

It’s estimated that over 100, 000 Americans discover that they’ve colorectal cancer annually. Some of those cases include those who’ve been diagnosed with cancer which has metastasized. Most us know that in this stage, treatment could become hard and more complicated. Some cases still have some hope for a couple years of survival. Once colon or colon … Continue reading METASTATIC COLORECTAL CANCER

GASTROENTEROLOGY MEDICAL CODING

Gastroenterology is a medical specialty that deals with its ailments and the digestion. Gastroenterologists utilize numerous diagnostic procedures prescribe treatment and to identify the individual’s health condition. Coding for gastroenterology entails accurate coding of services and the processes. Reimbursement is offered for processes supplied in ASC facility configurations and facility, hospital outpatient. Payment policies differ with … Continue reading GASTROENTEROLOGY MEDICAL CODING

MODERN TECHNOLOGIES FOR OPEN HEART SURGERY

Today, medical equipment technology is advancing at ever higher speeds, in large part due to the advent of computer technologies just a few decades ago. A few of the most typical and essential pieces of medical machines still in use today had their origin in pre-computer times and the Open Heart Surgery part of Healthcare … Continue reading MODERN TECHNOLOGIES FOR OPEN HEART SURGERY

PHYSICIAN’S ORDER FOR LIFE-SUSTAINING TREATMENT(POLST) FORM IN END OF LIFE CARE

POLST form is one of the most important legal documents for end of life care setting. End of Life Care refers to health care, not solely of an individual within the final hours or days of their lives, however lot for all those with a terminal condition that has become advanced, progressive, and incurable. Even once you have written documents, some choices still may not be clear … Continue reading PHYSICIAN’S ORDER FOR LIFE-SUSTAINING TREATMENT(POLST) FORM IN END OF LIFE CARE

REQUEST AND UNSOLICITED PATIENT HEALTH INFORMATION

Patient engagement is developing as a key focus area in US healthcare, and patients are progressively able and willing to report extra health data to their providers. Traditionally, healthcare providers have received unsolicited patient health information volunteered by the patient or other providers responsible for patient care. In its most simple form, unrequested information is … Continue reading REQUEST AND UNSOLICITED PATIENT HEALTH INFORMATION

CONDUCT YOUR OWN INTERNAL HARASSMENT AND BULLYING INVESTIGATION

An employee’s psychological state plays an important role with regards to his/her productivity and engagement; therefore it is very crucial to know whether or not he/she effectively contributing to achieve the organizational objectives. Harassment or discrimination encompasses an important impact on one’s emotion and mental health. Hence, it is imperative for the organization to ensure … Continue reading CONDUCT YOUR OWN INTERNAL HARASSMENT AND BULLYING INVESTIGATION

DIAGNOSIS RELATED GROUPS

A key issue for an additional fast move towards universal health coverage is that the economical use of resources, in addition to exaggerated resource mobilization and improved pooling. Substantial potency gains might be created by reforming hospital payment mechanisms, particularly since expenditure on hospital services contains one of the biggest shares of total health-care payment … Continue reading DIAGNOSIS RELATED GROUPS

RISK ADJUSTMENT DATA VALIDATION (RADV)

CMS has started conducting its Risk Adjustment Data Validation (RADV) Audit which will continue till august of this year. So this is the high time you should know in and out of Risk Adjustment Data Validation Audits so to prevent payment of high penalties. Federal laws need Medicare Advantage organizations, their providers, and practitioners to submit medical records for … Continue reading RISK ADJUSTMENT DATA VALIDATION (RADV)

ROADBLOCKS AND CHANGES TO SPINE SURGERY REIMBURSEMENT

Coding and Billing for Spine Surgery; a complicated and troublesome task for most of the healthcare practitioners, isn’t it?? Well, yes it is! While coding for spine surgery medical practitioners or professionals face several huge obstacles in achieving proper and accurate reimbursement for their spine procedures. Many of the claims even get denied by the … Continue reading ROADBLOCKS AND CHANGES TO SPINE SURGERY REIMBURSEMENT

INCIDENT-TO & SHARED SERVICES BY NON-PHYSICIAN PRACTITIONERS

Non-Physician Practitioners or Mid Level Providers are eligible to provide all types of visits that a physician provides. Although rules for coding are same for both, but payment is 85 percent of the payment for physicians from Medicare. Non-physician practitioners include Nurse Practitioners, Physician’s Assistants, and Clinical Nurse Specialists. By involving NPPs in daily practice, … Continue reading INCIDENT-TO & SHARED SERVICES BY NON-PHYSICIAN PRACTITIONERS

TELEMEDICINE SERVICES & IT’S REIMBURSEMENT

Earlier, Telemedicine services were used to deliver healthcare services in remote areas. But in today’s healthcare system, patient needs more convenient and accessible healthcare, therefore telemedicine services are now also used to evaluate, diagnose and treat people using common technology without the need of in-person visit. But similar to other services, physicians are concerned about … Continue reading TELEMEDICINE SERVICES & IT’S REIMBURSEMENT

STRATEGIES TO PREVENT COMPASSION FATIGUE AND BURNOUT IN MEDICAL FIELD

Being a physician or other healthcare provider is not at all easy! It includes lots and lots of paper work, long shifts, physical and emotional exhaustion and so much more. All of these things causes stress or we can say ‘Compassion Fatigue’ in healthcare service providers. And it is very obvious. You can’t be the … Continue reading STRATEGIES TO PREVENT COMPASSION FATIGUE AND BURNOUT IN MEDICAL FIELD

THE FEDERAL FALSE CLAIMS ACT : AN EFFECTIVE TOOL TO REDUCE FRAUDS AGAINST THE GOVERNMENT AND PROTECTION GIVEN TO QUI TAM PLAINTIFF BY THE LAW

The Federal False Claims Act is a law that imposes liability on a person or a company who intentionally makes a false claim regarding any health care program or tries to defraud the federal government. As a health care executive, physician or other health care provider, you should be very concerned about the potential for the … Continue reading THE FEDERAL FALSE CLAIMS ACT : AN EFFECTIVE TOOL TO REDUCE FRAUDS AGAINST THE GOVERNMENT AND PROTECTION GIVEN TO QUI TAM PLAINTIFF BY THE LAW

STRATEGIES FOR CORRECT E/M CODING

Despite of having proper guidelines, coding for Evaluation and Management (E/M) services is still a challenge for healthcare service providers. CMS reported that more than 15% of E/M services were improperly paid due to over or under coding of these services. Due to higher rates of errors, Reimbursement for providers has declined over the years. … Continue reading STRATEGIES FOR CORRECT E/M CODING

ROLE OF HEALTHCARE INFORMATION TECHNOLOGIES IN IMPROVING CARE COORDINATION

In this new emerging healthcare environment, it is very important to design a care process which should be focused on prevention, chronic illness management, quality improvement and cost savings. Care coordination is one of the key roles of healthcare organizations which not only affects the length of stay but also helps in reducing healthcare cost. … Continue reading ROLE OF HEALTHCARE INFORMATION TECHNOLOGIES IN IMPROVING CARE COORDINATION