An efficient, effective revenue integrity program is an important part of protecting revenue and driving process improvements. Use these tips to ensure your program is reaching peak performance.
Ensure you're on top of the latest ICD-10-CM rules for coding principal diagnoses for newborn encounters, conditions that may be community acquired or due to birth complications, common newborn conditions that are often coded incorrectly, and 2023 codes for newborn apnea that took effect October 1.
Acute hospital care at home is reimbursed the same as if the patient was physically an inpatient in a hospital, with the same documentation requirements, quality measures, and medical necessity guidelines. Learn how strengthening CDI's role in these programs can help support their success.
A properly calibrated audit tool is key to uncovering educational opportunities for CDI specialists. Use this expert advice to help your organization get the most out of CDI audits.
Various analyses must be conducted to maintain compliance, assist with charge capture, solve account edits, and review any possible coding trends or issues that may cause claim delays, denials, or unnecessary rework. Learn how to effectively leverage this data to improve processes and protect revenue.
A CDI program’s ability to expand is directly dependent on current resources or immediate budgeted resources. Apply these tips to guide your organization's outpatient and ambulatory CDI strategies.
