October 2023
Newsletter Highlights
Accountability: Taking Your Influence as Physician Advisor to the Next Level
Hospice Conundrums (Part 1): Demystifying GIP, Ensuring Appropriate Use, Documentation, and Payment
I Want a SNF Please…
Observation Rate – Shooting for a Standard
The Role of Clinical Documentation Integrity in the Hospital Readmissions Reduction Program as it Relates to Same-Day Acute Care Readmissions and the 3-Day Payment Window
Observation Committee August 2023 Survey Results

September 2023
Newsletter Highlights
Must We Wait for the Pathology to Code a Malignancy?
Provider Access to CMS Appeals in Medicare Advantage
Pediatric Physician Advisors – No Longer an Option for Healthy Hospital Operations
Reconciling Sepsis 2 and Sepsis 3: Are We Missing Something in Between?
Navigating Social Hospitalizations

August 2023
Newsletter Highlights
Medicare Two-Midnight Rule Exceptions (Short Stays)
How to Make Positive Progress with Your Executive leadership: The Power of the P’s
The Medicaid Redetermination – Hanging Off the Edge of the Cliff
Let’s Speak the Same Language in Denial Management
CMS-4201-F – The Medicare Advantage Rule - Questions and Answers
Observation Committee Case of the Month Observation Committee Case Responses and Commentary from May, 2023 Cases

June 2023
Newsletter Highlights
ACPA Comment on CMS-2439-P
Z Codes Another Tool to Demonstrate the Value Hospital Case Managers Provide to Their Patients and Their Hospitals
Using ICD-10-CM R Codes When Indicated
Diabetes, Hyperlipidemia and Hypertension…Metabolic Syndrome check! : Diagnosing Metabolic Syndrome
Fighting Back Against Medicare Advantage SNF Denials
NPAC 2023 – CME

May 2023
Newsletter Highlights
Responses for January 2023 Newsletter cases
Training the Trainees in the Art of Clinical Documentation - Making the Case for “Catching Them Young”
Observation Committee Newsletter Cases for May 2023

April 2023
Newsletter Highlights
SIRS ≠ Sepsis
Why is the Capture and Clinical Documentation of Malnutrition So Important?
Using an Acute ICD-10-CM Code Instead of “History of” Can Lead to OIG Peril
The Silent Crisis
ACPA Strategic Planning Executive Summary

March 2023
Newsletter Highlights
Is it the PAs Role to Teach the Experts?
Breaking the Silos for Healthcare Success
Pediatric Observation Case 1 Survey Results with Expert Analysis
Pediatric Observation Case 2 Survey Results with Expert Analysis
Providers - Now is the Time to Change How We Document!

February 2023
Newsletter Highlights
Getting Your Surgeons to Document Complications Appropriately
Government Affairs Committee Comment on CMS 4201-P
Acute Blood Loss Anemia (D62): In Denials, Not All Literature is Created Equal
NPAC is Coming! Will You Be There?
Enhancing the Revenue Cycle Through Streamlined Physician Advisor Programs

January 2023
Newsletter Highlights
2023 Medicare Inpatient Only (IPO) Lists
Breaking the Silos: Role of CDI in Reporting Patient Safety Indicators (PSIs)
Disruptive Innovation: A Challenge to Physician Advisors and Case Managers
Transcatheter Aortic Valve Replacement Reimbursement and Documentation Challenge
Lowering Your Observation Rate
Observation Committee Cases for January 2023

December 2022
Newsletter Highlights
PEDIATRIC Observation Committee Cases
Observation Committee Case Analysis

November 2022
Newsletter Highlights
Acute MI – Another Evolution in Terminology
You’ll Catch Your Death of Cold?
An Introduction to Physician Advisors to the Industry Standard for Compliant Query Composition

October 2022
Newsletter Highlights
Status, Ethics, and Decision-Making Capacity – All in One Case
Hand Me That (Occam’s) Razor, Would You? One Application of the Scientific Law of Parsimony Can Help Assure That Your Revenue Accounts for the Actual Health of Your Population
Follow Up from Advisory Board Town Hall: Responses to Frequently Asked Questions Concerning MAO Denials

September 2022
Newsletter Highlights
June 2022 Observation Case Responses
Clinical Validation: The Physician Advisor’s Role
Surviving Denial Management…
The Regulatory Nuances of Observation
Observation Case September 2022