Donna: Sue, do you remember when we started our blog back in 2012? Didn’t the idea present itself at a conference we were attending? Sue: Yes, it did! We were […]
L. Gordon Moore and Donna Smith discuss how appropriate documentation and coding of hierarchical condition categories (HCCs) can have a significant impact on payment in a value-based system.
This article details how coders can enhance their careers by becoming proficient in the finer points of the latest payment methodologies.
Also featuring Krysten Brooks, RN, this webinar reviews the definition of sepsis and how to manage sepsis claims denials.
3M research conducted by HIMSS Analytics sought to understand how organizations manage data in support of value-based payment models based on HCCs.
Donna: Hi, Sue – I’ve been hearing that many hospitals are getting denials for records with sepsis coded as the diagnosis. Sue: Why are they getting denied for that? Donna: […]
Donna Smith of 3M Consulting Services explores crucial oversight processes, audit techniques, escalation policies & 2017 ICD-10-CM guidelines.
HCCs are not new, but many organizations are only starting to recognize their importance. 3M’s Donna Smith dives into how to manage HCCs in her new article.
Donna: Hi, Sue! Do you ever see something on a problem list that isn’t correct? Sue: Yes, often! You know I always say, “The problem list is a problem.” Donna: […]
Donna: Eh Sue. What did you think of our experience in Canada reviewing charts for accurate coding? Sue: I would say that they have a similar challenge to ours in […]