Hospitals are applying high reliability traits to drive improvement in new departments. Learn how to apply these methods to leverage CDI as a quality improvement function.
Effective management of claim edits and denials is a cornerstone of a sound revenue cycle. See how your organization compares to others and what you can do to improve.
Medical decision-making is one of the key components of E/M code selection. Review the guidelines to ensure correct coding and to improve internal audits.
The expansion of telehealth services and the flexibilities introduced through the Hospitals Without Walls waivers are a critical part of hospitals’ COVID-19 response, but the rules and how they interact with each other are often complex. Take a closer look at CMS’ guidelines and how they should be implemented.
Q: A patient was admitted to our facility with COVID-19-like symptoms, tested negative for COVID-19. Several days later, however, the patient was retested and found to be positive for COVID-19. Should we query the physician or assign a present on admission (POA) indicator of "no" or "unknown"?
The mid-revenue cycle is rife with possibilities to lose earned, appropriate revenue. Learn how to identify common weaknesses and deploy coding, CDI, and technology to address them.