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American College of Physician Advisors

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American College of Physician Advisors

Member Newsletters




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

August 2022
Newsletter Highlights
Lessons from the Case Management Society of America (CMSA) Annual Conference
Hospital Acquired Condition 14 (HAC 14)
Physician Advisors Guide to the 2023 Physician Fee Schedule Proposed Rule
No Way Out: How to Manage Declined Discharges
Introducing Functional Quadriplegia
Physician Advisors and Case Managers: Collaboration in Learning and Practice
QIO Short Stay Audits and the CMS IPO List
NPAC 2022 Don’t Miss Out

> Flowsheet for Dr. Grant's No Way Out Article


June 2022
Newsletter Highlights
Imagine
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







Previous Newsletters (All)