Supporting consistent coding of social determinants of health

July 5, 2023
HIM Briefings

Coders are now tasked with reporting social determinants of health, or circumstances in patients’ lives that can influence the quality of their life and overall wellbeing. Understand how to improve documentation of these factors and ensure complete and accurate coding.

Identify essential CDI KPIs

July 12, 2023
HIM Briefings

When a CDI program is renewed or created, the main focus tends to be on the CDI department structure: its policies, education, staffing needs, and key performance indicators (KPI). Learn how to identify KPIs for your CDI program.

Review potential changes in the 2024 IPPS proposed rule

July 19, 2023
HIM Briefings

Several proposals in the fiscal year 2024 Inpatient Prospective Payment System (IPPS) proposed rule signal that CMS is serious about a major overhaul of MS-DRG severity levels. Review these and other major proposals to help your organization prepare for the release of the final rule.

Sample utilization review guideline language for payer contracts

July 26, 2023
HIM Briefings

Contract negotiations can make or break a hospital, because in addition to setting the price list for services provided to the insurer’s members, the negotiations also affect the resources that the provider expends to comply with the contract terms. Use this sample language as a template for your organization.