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.
What is your organization’s strategy to journey from volume- to value-based reimbursement? How to create a collaborative CDI team.
This article from Richard Averill, MS and Norbert Goldfield, MD describes the future of payment reform in health care.
This article details how coders can enhance their careers by becoming proficient in the finer points of the latest payment methodologies.
In this article, Steve Delaronde describes the current state of value-based insurance design and the future of pilot programs.
3M’s Barbara Aubry urges coders to provide adequate clinical documentation to support CPT code 99024.
As health care shifts toward risk-based payment, an increasing number of health systems intend to become insurers. What are five factors that should be considered?
Independent Hospitals Pricing Authority released important information regarding its Pricing Framework for 2017-18.
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.
For 2017, the American Medical Association (AMA) introduced three replacement codes to report mammography. Find out what they are in this article from Barbara Aubry.
Complete and accurate documentation is critical to improving key performance indicators for both hospitals and physicians. 3M’s Dr. Michael Powell outlines four essential components of a successful CDI initiative.
Sue Belley discusses ICD-10 and goes over some frequently asked questions about coding quality audits in this article in Health Management Technology.