Outpatient CDI queries: How to introduce physicians in ambulatory settings to the query process

June 6, 2018
HIM Briefings

Although compliant querying is clearly spelled out in inpatient CDI, where patient encounters can last three to five days, it’s more complex in the fast-paced ambulatory world where single patient encounters are shorter and may be spread over a year’s time. Experts weigh in on the best approach to effective, compliant outpatient queries.

Big data, data analytics, and the importance of information governance

June 13, 2018
HIM Briefings

The proliferation of electronic systems, applications, and medical devices in healthcare creates challenges within and across organizations. With the ever-expanding uses of healthcare information, it is critical to understand the impact of big data and data analytics and the importance of information governance.

2019 IPPS proposed rule: Enhanced interoperability, hundreds of ICD-10 codes

June 20, 2018
HIM Briefings

CMS plans to rebrand the Meaningful Use program as “Promoting Interoperability.” In a fact sheet, the agency said that the proposed changes outlined in the IPPS rule are meant to improve the use of EHRs and make it easier for providers to spend time with their patients.

Code check: Resolving NCCI edits

June 20, 2018
HIM Briefings

When evaluating a code edit, it’s necessary to understand exactly when or where in the claim or billing process the edit arose. Look to coding guidance to help edit resolution efforts.

Capturing HCCs: Strategies to improve physician documentation, compliance

June 27, 2018
HIM Briefings

The Hierarchical Condition Categories (HCC) risk-adjustment methodology is beginning to surface more frequently in both the acute and primary settings. Use these expert tips to help improve complete, compliant HCC capture.