Healthcare News
Is my team’s coding accuracy up to industry standards? This is a question many HIM and Coding decision makers find themselves asking. Coding compliance audits can provide an organization the ability to follow regulatory guidelines in regards to their coding practices. Get an overview of the impact compliance audits have on both the hospital level and the physician-practice level. Read more.
Continuing advancements in technology, regulation changes, and increasing healthcare costs are just a few of the changes that are inevitable in the foreseeable future. So, how do we strategically prepare for changes in the healthcare industry that we cannot even predict yet? Read on to find out.
Across healthcare, the majority of hospitals or healthcare systems have incorporated query programs; however in many cases they are driven solely from a compliance perspective. We’ve prepared a case study using data gathered over the past couple of years, in order to reach an undeniable conclusion: it’s not about the why, it’s about the how.
With the ongoing trend of physician group acquisition, facility-side managers are increasingly assigned the role of also managing the coding policies of newly-acquired physician groups with very little experience in the ProFee arena. So, what makes ProFee coding and billing so different from the facility culture? Find out more here.
Analysts share alarming facts about revenue loss and trends in the past couple of years; the growth in expense reduction is slower than revenue decline. This is affecting Not-for-profit hospitals tremendously.
Navigating the Center for Medicare & Medicaid Services (CMS) rules can be tricky. It can be handy to have a fact sheet that goes over a variety of CMS topics. We recommend you use this interactive Medicare learning resource!
Is “lost in translation” the only risk providers face when trying to adequately serve the Latino population with healthcare needs and challenges? Two big “No-no’s” in this scenario.
The Centers for Medicare and Medicaid Services (CMS) released the 2019 ICD-10-PCS code changes for fiscal year(FY) 2019. After the codes are approved in the FY 2019 IPPS Final Rule, they will be implemented by all hospital inpatient coding professionals with discharges occurring on October 1, 2018.
The role of the YES Clinical Documentation Improvement (CDI) Specialist is to be a liaison and a partner, to compare the facility CDIS Medicare severity diagnosis-related group (MS-DRG) to the facility coder MS-DRG when there is a mismatch between the two MS-DRGs.
Though many patients and healthcare providers complain about the use of EHRs, there is a set of guidelines that can make the EHR an effective tool to improve communication and trust between patients and providers.