On September 10, 2015, while most of us in health care were deeply involved in ICD-10 preparation, the Department of Justice (DOJ) released a ruling that will significantly impact every […]
I’ve written in the past about how to score the language within an E&M note. There are a number of ways to arrive at the same code, or in fact, […]
As we all focus on the looming deadline for the ICD-10 go-live, CMS is quietly floating more changes to short stay requirements. CMS reiterated its goals of “respecting the judgment […]
My mother taught me that it’s impolite to say “I told you so.” My daughter tells me I’m bossy and health care compliance is pretty dry (she’s trying not to […]
Can HCCs? Be used to improve patient outcomes? Learn more from 3M’s Donna Smith.
What are the differences between inpatient and outpatient CDI programs? Learn more about the unique documentation challenges facing each type of facility.
How is payment determined in the inpatient setting versus an outpatient setting? 3M’s Donna Smith explains why the differences can impact a clinical documentation improvement program.
The team I work with has done an enormous amount of work translating medical necessity policies from ICD-9 to ICD-10. And we have had many discussions regarding the codes that […]
In past blogs, I’ve written about a variety of E&M services and how to code those visits. In case that seemed straightforward, many years ago mid-level providers were added into […]
Medical care produces both benefits and harms. There are risks associated with care delivered in the hospital, including infections, medical errors and delirium. There are side effects associated with medication […]
Effective revenue cycle workflows often depend on supplemental third-party software to fully manage regulatory and payment requirements. What’s missing from your outpatient revenue cycle system?
Pardon the bad play on words, but “it was the best of hospitals, it was the worst of hospitals.” Within the past week I interacted with two healthcare organizations and […]