Archive for August 2024
‘Crafting Effective Compliance Plans’ Series: Setting Pass Rate Thresholds & Creating Action Plan Items Based on Audit Findings
Develop a tailored action plan for your physician group following audit results. By understanding the different pass rate thresholds and implementing strategic responses, physician groups can enhance their compliance programs and support their providers.
Read MoreCMS Releases the FY 2025 Hospital Inpatient Prospective Payment System (IPPS) Final Rule
On August 1, 2024, the Centers for Medicare & Medicaid Services (CMS) issued the fiscal year (FY) 2025 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital (LTCH) Prospective Payment System (PPS) final rule. Review the updates here.
Read MoreComprehensive Guide for Inpatient Coders: Coding Abnormal Findings in the Hospital Setting
The Official Coding Guidelines provide detailed instructions for coders on how to capture diagnoses and significant findings accurately. Section III and its Subsection B (III.B) stand out as critical tools for ensuring that coders capture all relevant diagnoses and abnormal findings during a patient’s hospital stay.
Read MoreImplement These Best Practices for Outpatient Coding Documentation
Clear, thorough, and descriptive outpatient medical coding documentation is the cornerstone of proper reimbursement and patient care. Here are the essential documentation guidelines for outpatient medical coding, drawing on our own best practices and industry expertise.
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