On a daily basis, we read about new apps or devices that may create, store, and transmit electronically stored information (ESI) relevant to the health of an individual. Healthcare providers may be required to reach out to those entities and produce ESI in response to a legal adversary’s discovery requests.
After years of screening mammograms, always with results that came back clear, Nancy M. Cappello, PhD, was shocked to receive a diagnosis of advanced stage 3 breast cancer. The reason the mammography hadn’t found anything sooner, she learned, was because she had dense breast tissue—a term she had never heard until her cancer diagnosis. This post discusses some basics for mammography coding as it may have related to Nancy Cappello’s experience.
Every month, hospital-based health information management professionals must walk the thin line of ensuring adequate revenue is generated from submitted claims while maintaining quality during coding and pre-bill audits.
The Illinois Supreme Court recently ruled on a class action suit alleging the plaintiff’s biometric information collection practices violated the Illinois Biometric Privacy Act. What might this mean for healthcare providers or other entities that collect biometric information?
What if there were streamlined claims submissions, remittance, and payments for the provider with real-time determinations and claims adjudication for the payers?
While neonatal abstinence syndrome is a serious condition, the lack of a standard clinical definition makes it difficult for providers to recognize the symptoms and accurately diagnose and treat newborns. If the syndrome is not recognized, and thus not documented, then the correct diagnosis code will not be assigned—which in turn impacts the state and national statistics regarding this syndrome.