Capturing Transitional Care and Chronic Care Management Appropriately
What is the difference between coding for transitional care management and chronic care management?
How South Shore Health System Protected Revenue During an EHR Transition
South Shore Health System created a formal revenue integrity department to mitigate revenue loss during its EHR transition and to monitor and track progress after implementation.
The Financial Truth About ICD-10 Coding Accuracy: Two DRGs to Watch
A new study reveals growing concern for ICD-10 coding quality with special emphasis on two inpatient DRGs―cardiac defibrillator implants and anterior/posterior spinal fusion―that can result in significant revenue loss.
Coding for Antibiotic Resistant Infections
What are the ICD-10 coding guidelines related to superbug infections and medication resistance?
Avoiding the Costliest Denials
Eligibility, outpatient medical necessity, and case management authorization continue to be three of the costliest denials. To avoid the negative effects of these types of denials, it is critical to implement an improvement process based on data.
Finding Common Ground on Physician Documentation
Revenue cycle teams looking to improve physician compliance with documentation requirements should identify how better documentation supports physician priorities.
New CMS Guidelines Impact Coder Roles
How is the role of coders in the clinical validation process changing?
Working with Physicians to Improve Documentation
Getting high-quality documentation requires understanding physicians’ priorities, their thinking styles, and the time pressures they work under. Demonstrating how documentation can improve patient care is key to motivating physicians.
Coding for Conscious Sedation
How has coding for moderate sedation and conscious sedation changed?
Cultivating Homegrown Inpatient Auditors
Building a team of internal inpatient auditors empowers revenue cycle leaders to proactively validate coding, determine regulatory compliance, and analyze clinical documentation. The best place to find qualified auditors is to train your own coders for the job.