Accurately telling the patient’s story requires a thorough review of the entire medical record to identify all conditions that were addressed during the encounter, whether directly or indirectly, by the provider.
CMS released the fiscal year (FY) 2027 Inpatient Prospective Payment System (IPPS) final rule last week, outlining upcoming changes to Medicare payment rates and policies for inpatient services.
Improving patient access starts with examining the operational processes behind every request—from intake and staff training to workflow monitoring and executive oversight.
It’s essential to go beyond surface-level knowledge and gain a true understanding of how and why social determinants of health (SDOH) data is important to track, especially for pediatric patients.
Congenital heart defects are common in pediatric documentation, yet their presence alone does not ensure they are appropriately reported or fully understood within the clinical context of an encounter.
The Office of Inspector General (OIG) recently published the latest edition of its semiannual report to Congress, summarizing key oversight activities conducted between October 2025 and March 2026.
