Supporting accurate Hierarchical Condition Category (HCC) capture is essential to success under the growing number of risk-adjusted payment models. With their strong knowledge of coding and documentation guidelines and insight into emerging trends, coders are a key part of that strategy.
Regular monitoring and internal auditing are critical to ensure compliance throughout the revenue cycle and protect revenue integrity. Consider the different strategies that can be applied to documentation and chart audits, coding audits, and more.
The recent updates to Stark Law and the Anti-Kickback Statute ease many compliance concerns but introduce some new complexities and compliance pitfalls. Gain a deeper understanding of the changes and which arrangements may be affected.
Brush up on recent changes to ICD-10-CM codes and guidelines. Some of the major changes include new coding guidelines for COVID-19 and new codes for tick-borne illnesses.
Interoperability is the way of the future—but is your organization ready? With a historic rule set to transform how patients access their health information, HIM professionals need to review the requirements and collaborate across departments to implement them.
Enhanced process improvement is critical to a successful HIM department. Understand the different phases of process improvement and apply these tools to your department.
Correct coding for diseases of the blood can be difficult due to the lack of official guidance and the complexity of diagnosis. Clear up confusion by taking a closer look at these codes.
Organizations continue to struggle with denials for conditions such as sepsis and pneumonia. Review your processes and then apply these expert tips to help turn the tide.
Q: We're seeing a significant increase in pre-payment audit activity. How can we adapt our audit and denial management processes to cope with this shift?
