Payer requirements are constantly changing, while the information that organizations need to respond to those changes can be scattered and difficult to pull together.
A healthcare organization can terminate a vendor contract, disable accounts, shut down integrations, and move on to another technology provider. The information entrusted to that vendor, however, may not leave with the contract.
With extensive CPT coding changes on the horizon for all aspects of maternity care, revenue cycle professionals should review key updates for prenatal services.
Neonatal intensive care unit (NICU) reviews remain a bit of an albatross in the CDI community, with scarce educational resources, different clinical indicators, and a need to constantly change and adapt to keep up with an evolving field.
In the 2027 Medicare Advantage (MA) and Part D rate announcement, CMS highlighted risk adjustment accuracy, payment integrity, and accountability for diagnoses that drive reimbursement.
