In the 2022 NAHRI Leadership Council survey: Custom Edits—Creation and Workflow, 100 leaders, including revenue integrity, health information management (HIM), and coding directors and managers primarily from acute care hospitals and health systems with 500+ beds shared key insights into their custom edit processes, including workflow locations, oversight hierarchy, and the leading factors that drive custom edits.
With thousands of Medicare patients discharged to post-acute care facilities annually, hospitals need to identify claims that failed to transfer under Medicare’s Post-Acute Care Transfer rules....
