Posts Tagged ‘medical coding’
What is the Difference Between Inpatient and ProFee Coding and the Way it is Reimbursed?
What’s the difference between Inpatient and ProFee coding? Explore the coding basics, definitions, and reimbursement rules for Inpatient and ProFee coding.
Read MoreImportance of Auditing & Medical Coding Project Kick-Off Calls: How to Get the Entire Team on the Same Page
Effective project management is crucial for success in the dynamic and complex landscape of the healthcare industry. Scheduling a kick-off call has become an essential practice to ensure seamless collaboration and project alignment from the beginning.
Read More2024 ICD-10-CM Codes & Guidelines Include 395 Additions & 25 Deletions
The Centers for Medicare & Medicaid Services (CMS) has posted the ICD-10-CM 2024 codes for use by all provider types, including Inpatient and Outpatient. The updates include 395 new codes and 25 deletions in 17 different chapters of ICD-10-CM.
Read MoreUpcoming Changes to 2024 CMS-HCC Risk Adjustment Model Include Reliable Predictors of Future Costs
CMS updated the 2024 CMS-HCC risk adjustment model by including reliable predictors of future costs and excluding unreliable ones. In summary, the CY2024 CMS-HCC model classifies the ~74,000 ICD-10-CM diagnoses codes into 266 CMS-HCCs.
Read More2024 ICD-10-PCS Codes Released – New Technology Makes Up the Most of the Updates
CMS released the FY 2024 ICD-10-PCS file in June. With 78 new codes and five deletions, the total number of ICD-10-PCS codes for 2024 is 78,603. There were also 14 code title revisions. All these changes are effective on October 1, 2023.
Read MoreMastering MS-DRG Assignments to Enhance Reimbursements
Mastering DRG assignment is essential for hospitals and healthcare organizations to achieve optimal reimbursements and operational efficiency. Let’s explore examples of DRGs and introduce invaluable resources for selecting the correct DRG, including a DRG list and DRG assignment software.
Read MoreDNFB in Healthcare: It’s a Marathon, Not a Sprint
While every hospital CFO is justifiably concerned about their DNFB, all departments should work together to develop a trending tool as a means of gaining perspective on the long term. Treat your DNFB as a marathon, not a sprint.
Read MoreYES Reduces Client’s Radiology Coding Backlog by 86 Percent
Coding backlogs can lead to delayed reimbursements, increased claims denials, and potential revenue loss. This article reviews a recent case study conducted by our Outpatient Coding and Auditing teams, focused on reducing a client’s radiology coding backlog.
Read MoreNew Hire Onboarding Checklist for Welcoming Coders
In the fast-paced world of health information management, employee turnover can be high. It is imperative to establish a new hire onboarding checklist to facilitate their smooth integration into your organization and optimize their productivity.
Read MoreMaster the E/M Prolonged Services CPT Codes in Our Latest Refresh With YES Series
The Refresh With YES: CPT E/M Code Structure and Prolonged Services Learning Path discusses Evaluation and Management (E/M) coding guidelines, updates, and conventions, including the new and revised prolonged services CPT codes.
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