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Industry Perspectives: Tackling Coding Challenges at FQHCs
As health care organizations move to value-based payment, federally qualified health centers (FQHCs) face a unique set of coding and reimbursement challenges. In this roundtable discussion, HIM and revenue cycle… Read More »Industry Perspectives: Tackling Coding Challenges at FQHCs...
Making the Leap to New Sepsis Criteria
As we reflect on the transformation into spring, with large parts of the country still confronted by temperatures in the mid-30s at night and days when temperatures creep up into… Read More »Making the Leap to New Sepsis Criteria...
Audit Alley: A New Line of Defense for Inpatient Claims
Claim rejections and claim denials create considerable financial burden for US hospitals and health systems. Despite new revenue cycle technology, managing these denials remains a costly and time-consuming endeavor. Many… Read More »Audit Alley: A New Line of Defense for Inpatient...
Coding Skin Cancers in ICD-10: Public Awareness Raises Questions
July’s designation as UV Safety Month comes as no surprise. July is the month of summer vacations, beach trips, and plenty of other outdoor activities. Because I have a family… Read More »Coding Skin Cancers in ICD-10: Public Awareness Raises Questions...
Navigate the CDI Divide
Experts say boosting documentation takes hospitalwide cooperation. With recovery audit contractors cleared to resume limited medical record requests and ICD-10 once again on the horizon, many hospitals are casting a… Read More »Navigate the CDI Divide...
What Sepsis Numbers Do and Don’t Tell Us
Sepsis data are talking, but should the health care industry be listening? Big Data has become a big commodity in the health care industry. The government, payers, researchers, providers, and… Read More »What Sepsis Numbers Do and Don’t Tell Us...
ICD-10 Staffing Concerns Remain: 6 Questions to Fine Tune Your HIM Budget
Despite the recent news of a delay in the implantation date, ICD-10 remains a priority for healthcare, and those hospital executives who aren’t concerned about clinical coder productivity declines may… Read More »ICD-10 Staffing Concerns Remain: 6 Questions to Fine Tune...
Is Use of GEMs to Prepare for ICD-10 Wise?
In preparation for ICD-10, the federal government developed GEMs, a translation tool to aid in converting data from ICD-9 to 10, and vice versa. But leaders of outsourced coding, auditing… Read More »Is Use of GEMs to Prepare for ICD-10 Wise?...
It’s a Wonderful Life When You Reduce Denials With Pre-Bill Audits
Presentation Kim Carr, RHIT, CCS, CDIP, CCDS, AHIMA-Approved ICD-10-CM/PCS Trainer Director, Clinical Documentation Improvement...
Revenue Excellence: Can you Endure the HIM Challenges?
AHIMA 2019 | Chicago Presentation by Kim Carr, Director, clinical Documentation RHIT, CCS, CDIP, CCDS AHIMA-Approved ICD-10-CM/PCS Trainer...
POA and Discharge Disposition Coding
New Ways to Address Old Challenges For many years, the Centers for Medicare & Medicaid Services (CMS) has required the assignment of Present on Admission Indicators (POAs) and Patient Discharge… Read More »POA and Discharge Disposition Coding...
Achieving a Strong Bottom Line: Healthcare Leaders Need to Put coding Quality First
Coding Elevated White Paper – September 2017 In September 2016, a national coding contest was conducted to measure real world ICD-10-Cm and ICD-10-PCS coding accuracy and productivity. To date, the… Read More »Achieving a Strong Bottom Line: Healthcare Leaders Need to...
ICD-10 Code Quality: Making the Case for Clinical Validation
Coding Elevated, White Paper – November 2016 Coding Quality in the Crosshairs. Reports of ICD-10 coding quality range from extremely low to on par with ICD-9 benchmarks. As healthcare organizations… Read More »ICD-10 Code Quality: Making the Case for Clinical Validation...
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