Telemedicine in Healthcare

Technology has had many positive effects on today’s world, making it a better place. Technology has made great strides specifically improving healthcare and healthcare delivery with telemedicine. Telemedicine is a rapidly expa...

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Prolonged Service Codes

Gain an understanding of the prolonged service codes that take place within health care and appropriately document what is needed. Prolonged service codes exist to allow for additional payment to the provider for time spent above and be...

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Understanding CMS NCCI Edits and the Relative Value File

Insurance companies and Medicare all use some form of claims editing to process claims and determine the rules and guidelines of how procedures and services can be reported alone or in code combinations.  This involves not only the...

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Compliance Measures for RN and Social Work Case Managers

As case managers we must be aware of the myriad of compliance issues that we must adhere to in our daily practice.  Never has this been more important to our work as case managers then it is now.  Our ability to remain complia...

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Physician Relationships with Hospital Case Management: Physician Advisors and Hospitalists

Collaboration with physicians in best-practice hospital case management departments is critical to optimal outcomes.  Two physician groups probably impact hospital case management processes and outcomes more than any other groups o...

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