Archive for March 2023
End of the COVID-19 PHE Prompts Coding Guideline Change for October 1, 2023
The White House announced that the declaration of national emergency, as well as the COVID-19 public health emergency (PHE) declaration, would both end on May 11, 2023, prompting a guideline change for Z11.52, screening for COVID-19.
Read MoreCase Study: From Misreporting to Compliance: How Hospitals Can Implement a Standardized Process for Severe Malnutrition ICD 10 Diagnosis Codes
Given that severe malnutrition MCCs increase the dollar amount in Medicare reimbursements, overcoding is a potential risk for all healthcare organizations. Review our recent case study findings where we present compliance, standardization, and improvement opportunities to one client hospital.
Read MoreWhat Happens in Healthcare Mergers & Acquisitions? Strategies for a Successful Transition
Healthcare mergers and acquisitions reached a new record high in total revenue in 2022, according to Kaufman Hall’s analysis. What happens when physicians merge or sell their practices?
Read MoreOptimizing Your Outpatient Coding Team: Tips for Exceeding Medical Coding Quality and Productivity Standards
In the medical coding field, it’s critical to maintain quality and productivity standards. Facilities open themselves up to compliance risks and lost revenue without these standards. Here are a few best practices to increase your Outpatient coding team’s quality and productivity.
Read MoreHealthcare Coding Audits Checklist: Prepare for a Successful Audit
Regular healthcare coding audits are necessary to run a compliant, successful healthcare organization. While the reason for the audit may differ, the overall checklist for conducting a successful audit remains relatively the same.
Read MoreWhat Factors & Scenarios Trigger a HIPAA Audit?
The OCR performs a HIPAA compliance audit to confirm that covered entities and business associates protect and properly utilize PHI. Here are the factors and scenarios that trigger an audit.
Read MoreRevolutionizing Healthcare Communication: How Video is Transforming the Way Hospitals Operate
Video can be used for various reasons, from educating corporate coding teams on the latest medical coding updates, reinforcing clinical documentation guidelines to providers, and helping patients understand complex medical procedures.
Read MoreOvercoming Medical Necessity Denials with Clinical Documentation Improvement: A Comprehensive Approach
Medical necessity denials can’t be ignored, as they can lead to significant revenue loss and compliance issues. These best practices for clinical documentation improvement, education, and standardization will help providers overcome their medical necessity denials.
Read MoreHow Trending Reports Benefit Inpatient Medical Coding Compliance Audits
Anticipating coding quality strengths and weaknesses is a great benefit trending reports offer when it comes to coding compliance audits. A coding team can remain accurate and competitive by taking advantage of the benefits trending analysis has to offer.
Read MoreWhat HIPAA & Other Privacy Laws Miss: Data Sharing on Health Apps, Websites, & More
With the rise of health-related websites, communications, and applications, now’s the time to review how sensitive patient data is shared and protected with these evolving technologies.
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