In this webinar, Bobbie Starkey, RHIT, CCS-P, paints a broad picture of the components to consider if you are thinking of starting a CDI program in your Emergency Department.
The pressure to improve healthcare outcomes and reduce unnecessary use of healthcare resources weighs heavily on hospital and health system administrators working with tight margins. Success under value-based payment requires […]
I don’t know about you, but my head is spinning. On July 12, 2018, Administrator Verma released an email with some pretty stunning news. I’m going to focus on the […]
Roughly 40 percent of healthcare financial leaders say their organizations lack in-house expertise and staffing for extremely important activities, such as managing new regulations and payment models. The gaps put […]
In my last blog, I commented on being overcharged by my PBM for a medication that had been removed from their formulary – allegedly because the FDA pulled some old […]
Late one night this April, my good friend and work associate finds it so difficult to breathe she wakes her husband to drive her to Emergency. One day she’s on […]
One of the best parts of my job is the opportunity to interact with thought leaders and innovators from across the spectrum of healthcare delivery in the U.S. Given the […]
In late December 2017, I was asked by a colleague for my opinion on a customer’s inquiry about modifier 52 and its use in mammograms. CPT® modifier 52 represents a […]
Value-based payment models are attracting attention for risk adjustment methodologies, especially HCC risk adjustment, which is used to calculate cost benchmarks for Medicare Advantage and other CMS payment models including […]
Sue Belley discusses ICD-10 and goes over some frequently asked questions about coding quality audits in this article in Health Management Technology.
Last year I wrote a blog about the new Medicare Outpatient Observation Notice or MOON, the latest in the CMS library of Beneficiary Notices. A lot of folks thought no […]
In early October, CMS surprised everyone and published the highly anticipated Final Rule on MACRA well ahead of schedule. A number of blogs have since provided high-level summaries of the […]