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  • Media Type: Article

Article: The role of HCCs in a value-based payment system

With Donna Smith, RHIA, L. Gordon Moore, MD

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.

Article: Collaborate across silos to succeed in quality-focused CDI efforts

With Cheryl Manchenton, RN

What is your organization’s strategy to journey from volume- to value-based reimbursement? How to create a collaborative CDI team.

Article: Paying for Outcomes, Not Performance: Lessons from the Medicare Inpatient Prospective Payment System

With Norbert Goldfield, MD, Richard Averill, MS

This article from Richard Averill, MS and Norbert Goldfield, MD describes the future of payment reform in health care.

Article: Embrace risk adjustment

With Donna Smith, RHIA

This article details how coders can enhance their careers by becoming proficient in the finer points of the latest payment methodologies.

Article: Next steps on value-based insurance design

With Steve Delaronde

In this article, Steve Delaronde describes the current state of value-based insurance design and the future of pilot programs.

Article: Coders Beware: CMS Surgical Audits Began July 1

With Barbara Aubry, RN

3M’s Barbara Aubry urges coders to provide adequate clinical documentation to support CPT code 99024.

Article: How can provider-sponsored health plans succeed?

With Kristine Daynes

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?

Australia: 2017-18 IHPA Pricing Framework: Pricing for safety and quality

Independent Hospitals Pricing Authority released important information regarding its Pricing Framework for 2017-18.

Article: HCC Accuracy: A Crucial Factor in the Value Equation

With Donna Smith, RHIA

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.

Article: Reporting Mammograms for Medicare Patients

With Barbara Aubry, RN

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.

Article: Four elements of a successful CDI program

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.

Article: A new focus on coding quality audits

With Sue Belley, RHIA

Sue Belley discusses ICD-10 and goes over some frequently asked questions about coding quality audits in this article in Health Management Technology.