The Affordable Health Care for America Act, passed in late March, may leave many HIM directors scratching their heads. After all, sweeping reform must mean change is coming, but what will it look like?
Motivating staff to produce more when recognition of superior performance is limited or nonexistent is difficult. Remember that incentives need not be financial; they can be monetary or non-monetary, individual- or team-based. Organizations may offer them regularly or sporadically based on variable or consistent criteria.
Many hospitals seem to struggle with inconsistencies in the quality of their physicians’ history and physical exam (H&P) documentation, particularly when it comes to allergies and current medications. And the medical staff at Central Peninsula Hospital in Soldotna, AK, believed they were no exception, according to MarianneDailey, RHIT, CHP, CPHQ, HIM director and privacy officer at the hospital.
Certain modifiers are well-known as being difficult for coders. (Modifier -59, anyone?) Others, particularly HCPCS level II modifiers, may be a challenge because they are new, more complex, or simply used infrequently on your hospital’s claims.
Editor’s note: Use this quiz to prepare staff members for ICD-10-PCS by expanding their knowledge of root operations for surgery. In future months, we will feature quizzes on anatomy and physiology to help coders continue to prepare for the transition.
For years the demand for coders has exceeded supply, and for many possible reasons. This may be because coders do not think that salaries are commensurate with the knowledge, expectations, and stress. And coders often move on to other positions and do not make a career of coding.
HIM staff members have a lot on their plates right now, but one more looming deadline needs to be on their radar—the Federal Trade Commission (FTC) will begin to enforce its Red Flags Rule June 1. Hospitals must have an identity theft prevention program in place by that date.
Most agree that the passage of the Patient Protection and Affordable Care Act will be a “game changer” in how physicians and their facilities will be reimbursed in the coming years.
