Audit results should be packaged to be meaningful and easy to follow. Apply these tips to create audit packages that providers will get the most out of.
Physicians can opt to base evaluation and management (E/M) level selection on medical decision-making. Learn how to interpret the new guidelines and ensure compliance.
CDI professionals are playing a larger role in denials management and appeals. Consider how using denials management as a key performance indicator (KPI) can strengthen CDI programs.
The agency is proposing methods to alleviate burden on hospitals that have been under strain for the past year, while also asking for feedback that may shape future data reporting and rate-setting.
With the inpatient-only (IPO) list set to be phased out, HIM departments need to prepare for the larger operational and financial impacts. Consider how these changes will affect your organization.
The release of updated evaluation and management (E/M) documentation guidance calls for a fresh approach. Understand how to apply the new guidelines and avoid common pitfalls.
National Correct Coding Initiative (NCCI) edits and Medically Unlikely Edits (MUE) can throw a wrench in the Medicare billing process, delaying appropriate revenue. Learn how to apply recent guidance and best practices to resolve challenging edits.
Proper use of suspense, or hold, periods can ensure claims are complete and accurate before they go out the door. But without careful monitoring and limits, these periods can create more problems than they solve. Take a look at the hows and whys of suspense periods to ensure your organization is using them appropriately.
Q: We're looking for ways to bring our CDI and coding teams together to improve documenation and coding for appropriate Hierarchical Condition Categories (HCC) capture. Are there any recommended models and should other departments or individuals be working alongside them?
