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Healthcare Providers’ Role in Preventing Fraud, Waste, and Abuse 

American Medical Compliance

The Department of Health and Human Services (HHS) estimated that improper payments in the Medicare and Medicaid programs exceeded $100 billion from 2016 to 2023. Providers must ensure that patient records accurately reflect the services provided and that coding accurately represents these services.

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Improving Care for Patients with a Non-English Language Preference (NELP)

EMDocs

13 Interventions may include: Ascertaining a patient’s preferred language early in the clinical encounter (during registration, for instance), and clearly documenting this preference in a place that is visible to all providers. Utilizing certified interpreters and documenting their use. Educating patients on their rights.

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Agitation Podcast Series Episode 5: Management of the child with mental health problems who is boarded in the ED

PEMBlog

Pediatrics March 2023; 151 (3): e2022057383. Boarding of Mentally Ill Patients in Emergency Departments: American Psychiatric Association Resource Document. Parent/Professional Advocacy League: Best Practices: Pediatric Emergency Department Psychiatric Boarding Kraft CM, Morea P, Teresi B, et al. 10.1542/peds.2022-057383

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Brain Trauma Guidelines for Emergency Medicine

ACEP Now

In April 2023, the third edition of the Brain Trauma Foundation’s evidence-based guidelines for the prehospital management of traumatic brain injury (TBI) was published in Prehospital Emergency Care. 1 The practice guidelines were written by a multi-disciplinary group of experts and went through an extensive peer review process.

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Tips for Real-Time Information Sharing with Patients

ACEP Now

2 Information blocking is any practice that is “likely to interfere with access, exchange, or use of [EHI].” 3 These regulations have led to widespread practices of EHI, such as test results and clinical documentation, being shared with patients in real time. Accessed: October 11, 2023. Accessed October 11, 2023.

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The Latest in Critical Care, 3/11/24 (Issue #33)

PulmCCM

About 544,000 99292 codes were billed to CMS in 2021, according to ACCP , reportedly stable at about 10% of the total bills. trillion in 2023. I had never heard of this practice before. (To To be extra clear, these are not “best practice” alerts or prompts to suggest using an order set.

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2024 ACEP Elections Preview: Meet the Board of Directors Candidates

ACEP Now

A recent success by the ACEP was averting a decrease of our reimbursement for our 99284 E&M codes, saving an estimated $200 million for emergency physicians in 2023. If ACEP is already doing this, why be a member? ACEP has a voice for all, but its reach is limited by resources. More members translate to more resources.