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American College of Physician Advisors

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American College of Physician Advisors

Member Newsletters

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

June 2022
Newsletter Highlights
Patient Safety Indicator 15 (PSI 15): Abdominopelvic Accidental Puncture or Laceration Rate
Key Considerations in Developing an Observation Unit
June 2022 Observation Case
ACPA Letter to CMS about the 2022 OIG Report on MAOs

May 2022
Newsletter Highlights
Is Encephalopathy Making Your Head Hurt? Documentation Tips for the Physician Advisor
Observation: Tales From the Trenches, Common Mistakes and How to Avoid Them
Developing an Effective IP Hip and Knee Joint Program
On-Boarding and Mentoring New Physician Advisors
The Perfect Storm – Healthcare 2022
Observation Committee Answers to February 2022 Cases
“MCG vs. IQ and Does it Even Matter?”

April 2022
Newsletter Highlights
Condition Code 44 and its Compliant Execution
Length of Stay Management
Physician Advisors - Know thy Worth!!
Surgery Documentation Specificity Key to Proper Coding
Observation Cases April 2022

March 2022
Newsletter Highlights
Physician Advisors: To Practice, Or Not To Practice
Basics of Medicare-Severity Diagnosis Related Group (MS-DRG)
The Inpatient Only List Reinstated
Yes, You Can Admit Psychiatric Cases as Inpatients
Can a Patient with Sepsis Be Discharged from the ED?

February 2022
Newsletter Highlights
Observation Committee November Cases
Cancelled Surgery – Change the Status?
Medicare Advantage Star Ratings... What Are They? Why Should We Care? What Can We Do About Them?
NICU Baby Listed as “Self-Pay”: You’ve Got to Be Kidding!
APCA Observation Committee Cases of the Month

January 2022
Newsletter Highlights
Now Available – 2022 Medicare Inpatient Only Lists!
What to Do in 2022?
Academics and the Physician Advisor
ACPA 2021 Survey

December 2021
Newsletter Highlights
Insist on Covered or Not Covered
Putting the Physician into Physician Advisor Using CDI
Collaborative Conversations!

November 2021
Newsletter Highlights
Why Don’t Medicare Advantage Plans Follow the 2 MN Rule
ADCIS 2021 Overview
Returning to In-Person Conferences
Observation Committee November Cases

October 2021
Newsletter Highlights
Rising Pediatric Behavioral Health Admissions and Associated Challenges Faced by Physician Advisors and Pediatric Hospitals
The Outliers’ Conundrum
Surviving Sepsis Campaign 2021: Updates Are In
Observation Committee Questions of the Month Responses

September 2021
Newsletter Highlights
Birth Announcement
Use of Stigmatizing Language in Patient Medical Records by Healthcare Providers
Proactive Length of Stay Management
Supporting Patient-Centered Care with Interprofessional Collaboration: The Case Manager and Physician Relationship
Clinical Documentation and Coding of Skin Injury

August 2021
Newsletter Highlights
Physician Advisors: Decreasing the Distance between Revenue Cycle and the Bedside
Peer to Peer - Pearls and Pitfalls
COVID 19 Commercial Readmission Denials
Ten Points to Improve Clinical Documentation with the ED as a Model
Observation Committee Case of the Month
Observation Committee Case of the Month Responses
Observation Committee Town Hall Unanswered Questions

June 2021
Newsletter Highlights
Inpatient Only Procedures (IOP) Now Procedures of Interest (POI) in 2021
Creating A Denials Management Team
Children with Medical Complexity – Making it Simple
COVID-19 and Pneumonia: Help Get the Documentation Right
CDI PA Pointers June 2021

May 2021
Newsletter Highlights
Developing an Internal Physician Advisory Program: Our Experience at University Hospitals
The Physician Advisor as a “Quarterback” in Managing Silos
Adult COVID-19 Patients Do Not Get Hypoxic-Ischemic Encephalopathy (HIE)
Denial of Obesity
Analysis of March 2021 Observation Cases
This Month’s Observation Cases from the ACPA Observation Committee