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.
