by Gina Elkins | Monday, March 9, 2020 | Compliance
Physician Query: What is it? Physician queries have been used by Health Information Management (HIM) and Clinical Documentation Improvement (CDI) professionals in hospitals, but physician queries can be used in any setting. A physician query is a communication between...
by Gina Elkins | Monday, February 3, 2020 | Compliance
I am currently writing this blog while sitting on a plane, traveling for work and as I am in the air looking down on the clouds, I realize that my entire afternoon highlighted the modes in which I functioned thus far in my journey. Let’s take a look: Drove my truck to...
by Gina Elkins | Thursday, January 2, 2020 | Compliance
MC Hammer’s song title, “U Can’t Touch This” comes to mind when I think about ill-doers wanting to steal data and demanding us to pay in order to retrieve and access our own data files! Cybersecurity and Infrastructure Security Agency (CISA) defines Ransomware, “as a...
by Gina Elkins | Monday, December 2, 2019 | Clinical, Compliance, PDPM
CMS issued their updated their guidance to Medicare Administrator Contractors (MACs) on November 15, 2019 regarding Medical Review Instructions related to Skilled Nursing Facilities in Publication 100-08 Medicare Program Integrity, Transmittal 924. The effective date...
by Gina Elkins | Friday, November 1, 2019 | Compliance, Regulatory
In October 2016, the Centers for Medicare and Medicaid Services (CMS) published a final rule revising for Medicare and Medicaid requirements of participation (RoP) for nursing facilities. In the July 18, 2019 Federal Register, CMS proposed the rule that will reform...
by Functional Pathways | Thursday, August 29, 2019 | Clinical, Compliance, PDPM
“The oldest and strongest emotion of mankind is fear, and the oldest and strongest kind of fear is fear of the unknown. Howard Phillips Lovecraft As we approach the implementation of the Patient-Driven Payment Model (PDPM) on October 1, 2019, most of us are...
