Healthcare News

pass rate thresholds

‘Crafting Effective Compliance Plans’ Series: Setting Pass Rate Thresholds & Creating Action Plan Items Based on Audit Findings

By Vanessa Youmans / August 27, 2024 / Comments Off on ‘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.

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CMS Releases the FY 2025 Hospital Inpatient Prospective Payment System (IPPS) Final Rule

By Ann Zeisset / August 21, 2024 / Comments Off on CMS 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.

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OIG compliance program guidance

‘Crafting Effective Compliance Plans for Physician Groups’ Series: OIG Compliance Program Guidance

By Vanessa Youmans / July 24, 2024 / Comments Off on ‘Crafting Effective Compliance Plans for Physician Groups’ Series: OIG Compliance Program Guidance

Running a successful physician practice requires juggling many priorities, but ensuring compliance with regulations shouldn’t be one of them. The good news is, the OIG Compliance Program guidance offers a roadmap to success.

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social determinants of health ICD-10 codes

Social Determinants of Health (SDOH) ICD-10 Codes: What They Mean For Healthcare Clinicians, Quality Measures, & Coding

By Karen Youmans / July 18, 2024 / Comments Off on Social Determinants of Health (SDOH) ICD-10 Codes: What They Mean For Healthcare Clinicians, Quality Measures, & Coding

As healthcare initiatives and coding practices continue to evolve, the implementation of social determinants of health (SDOH) ICD-10 diagnosis codes has gained prominence, reflecting the growing emphasis on addressing social factors to improve overall health and well-being.

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physician charge entry

‘Crafting Effective Compliance Plans for Physician Groups’ Series: An Introduction to Provider Charge Entry Compliance

By Vanessa Youmans / July 12, 2024 / Comments Off on ‘Crafting Effective Compliance Plans for Physician Groups’ Series: An Introduction to Provider Charge Entry Compliance

There is a notable scarcity of compliance plans specifically tailored for provider-entered charges. We address this gap and provide a comprehensive framework for implementing robust charge entry compliance plans for physician groups.

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three cpt code categories

Demystifying CPT Codes: A Guide to the Three Categories for Hospital Decision-Makers

By YES HIM Consulting / July 9, 2024 / Comments Off on Demystifying CPT Codes: A Guide to the Three Categories for Hospital Decision-Makers

Understanding the different types of CPT codes is crucial for medical coders, as it directly impacts billing, reimbursement, and a healthcare organization’s overall financial performance.

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ICD-11 codes

Preparing for ICD-11 Codes: Steps for a Smooth Transition

By Karen Youmans / July 2, 2024 / Comments Off on Preparing for ICD-11 Codes: Steps for a Smooth Transition

ICD-11 represents a significant leap forward from its predecessor, ICD-10. This article serves as a comprehensive guide for hospital coding teams, outlining the key steps for a smooth and successful shift from ICD-10 to ICD-11.

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Refresh Your CPT Coding Skills on Hammertoe Procedures, Arthroplasty, & Bunion Surgery

By YES HIM Consulting / June 24, 2024 / Comments Off on Refresh Your CPT Coding Skills on Hammertoe Procedures, Arthroplasty, & Bunion Surgery

The Refresh With YES: CPT Feet Procedures Learning Path walks learners through an overview of CPT coding for selected feet procedures, such as arthroplasty and bone resection, divided into 21-30-minute webinars. This learning path discusses the characteristics and diagnoses of additional feet procedures, such as bunion surgery, repair of hammertoe and hallux rigidus, and ankle abscess. CPT coding guidelines and advice from CPT Assistant, as well as real-world coding selection scenarios, will be reviewed.

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healthcare staffing

Find Your Top-Tier Staff: Innovative Strategies for Recruitment and Retention in Healthcare Staffing

By Jenn Dilley / June 17, 2024 / Comments Off on Find Your Top-Tier Staff: Innovative Strategies for Recruitment and Retention in Healthcare Staffing

The healthcare industry faces a constant challenge: attracting and retaining qualified coding and auditing staff. We’ve compiled some innovative solutions to attract top-tier talent and foster a work environment that keeps them engaged and thriving.

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dementia icd 10

Commonly Missed ICD-10 Codes in 2024: Key Highlights from Official Guideline I.A.15 for Coders

By Vanessa Youmans / June 17, 2024 / Comments Off on Commonly Missed ICD-10 Codes in 2024: Key Highlights from Official Guideline I.A.15 for Coders

Ever felt lost in the labyrinth of ICD-10-CM codes? You’re not alone. In this article, we’ll explore specific examples of commonly missed or miscoded ICD-10 diagnoses and provide clear explanations on how to leverage the Alphabetic Index for accurate and efficient coding.

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