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As a healthcare leader, the health information administrator is responsible for communicating compliance requirements and regulations both internally (providers) and externally (patients). This responsibility requires

As a healthcare leader, the health information administrator is responsible for communicating compliance requirements and regulations both internally (providers) and externally (patients). This responsibility requires the manager to interpret compliance guidance documents, relate new or changing requirements to hospital-specific operations, create a implementation plan, and execute the plan.Go to the Medicare National Coverage Determinations Manual https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Internet-Only-Manuals-IOMs-Items/CMS014961  There are four parts to the manual and numerous sections. Review the table of contents and pick an NCD to use for this assignment. It is recommended to choose a topic of interest to you or that you are knowledgeable about.For example, if you have a family member with diabetes, you may be interested in 100.14, Surgery for Diabetes. PLEASE DO NOT SHARE PROTECTED HEALTH INFORMATION. Imagine that you have a role as a data analyst within a health system. You are tasked with preparing an educational session about the NCD because your facility has been receiving a higher-than-average number of denials for this service.

 
  1. Develop a corrective action plan for your providers and coding team.
  2. Describe the elements of the plan and the methods you intend to use to implement.
    1. Methods could be computer-based training, meetings, handouts, etc.
  3. Describe any deliverables or milestones and how you intend to continually monitor for compliance.





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Corrective Action Plan for Providers and Coding Team Education Session Conduct an interactive education session to ensure providers and coding team members understand the criteria outlined in NCD 2206 ... blur-text-image

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