HIM departments are increasingly being drawn into revenue recovery decisions while also being asked to help ensure coding and documentation workflows remain accurate, traceable, and defensible.
As coding teams collaborate across regions and contribute to shared quality and artificial intelligence (AI) evaluation initiatives, a common framework for measuring coding quality becomes essential.
Outpatient clinical documentation improvement plays a critical role in establishing medical necessity, supporting accurate coding and reimbursement, and reducing claim denials.
Outpatient follow-up after psychiatric hospitalization among patients with first-admission schizophrenia was associated with a significantly lower risk of readmission, according to a new study.
CMS published the October 2026 update to the Outpatient Prospective Payment System (OPPS), which includes changes to codes, status indicators, and payment rates.
