By Ritesh Ramesh – Overcoding may net higher reimbursements for healthcare organizations, however the ramifications of getting caught far outweigh the revenue boost – and the likelihood of that happening are high as CMS continues its quest to ferret out fraud and abuse and recoup improper reimbursements.
Read More
By Devin Partida – The medical industry consists of many steps to provide patients with the best care possible. Within this process, payments and coding present a unique challenge. Health care professionals often outsource medical coding to third-party professionals. Doing so, however, requires strict compliance with HIPAA regulations.
By Dr. Seth Flam – The risk adjustment rules insist that each new calendar year, diseases and their correlated ICD codes from the previous year, be properly recorded in the current year, when clinically suitable. You may think it common practice that providers would just redocument….
According to a roundtable of coding experts and health information management professionals assembled in June, the implementation of ICD-11 will depend on several factors including whether or not there is a Clinical Modification.
Black Book™ surveyed 3,300 healthcare organizations including over 1,600 coding professionals, to determine the top-performing vendors among in-demand computer-assisted coding, clinical documentation improvement software, speech recognition, transcription systems and…
By Lisa Ball – Medical coders are the unsung heroes of the healthcare industry. They are the link between the physicians and the payer that ultimately determine what the patient pays and what their treatment is. To those outside the industry, it may not seem like…
By Sharon Nichols – Everyone remembers the anxiety surrounding the finalized transition to ICD-10 in 2015, and while ICD-10 Monitor notes that the volume of changes is slowing, the 2019 Spine Surgery coding changes are significant.
By Beth Friedman – AHIMA held its 90th annual convention and exhibit last week in Miami, Florida. Amid humidity, convention center construction and political banter, attendees found common ground on two important revenue cycle issues: operational performance and payer denials.
By Robert F. Bacon – The provider community has been begging for documentation reform for over 20 years, and there is no question that simplifying the complex requirements of clinical documentation is necessary.