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 […]
Learn how to consistently capture the most complete and accurate HCCs and RAF scores for your patient population.
Donna: Hey Sue, have you read the WEDI document on the 2016 ICD-10-CM Clinical Indicators? This is another opinion on Guideline 19, which was published in the 2017 “ICD-10-CM Official […]
Donna: Happy Holidays, Sue! In the spirit of the season, here’s a gift for you — some information about ICD-11 that I learned at the recent ICD-11 Revision Conference in […]
CMS is moving to shift healthcare payments from traditional fee-for-service models to value-based reimbursement (VBR). How prepared is your organization to successfully receive accurate reimbursement for your patient population?