Auditing and monitoring

Discover opportunities for CDI specialists and physician advisors to collaborate on mitigating copy-forward risks.

Identify ways that HIM professionals are accountable for patient data that lives well beyond the electronic health record.

The Office of Inspector General (OIG) released new guidance to detail key risk areas relevant to the Medicare Advantage (MA) program and provide recommendations to various parties to mitigate these risks.

For HIM leaders, coding risk is no longer confined to isolated errors or individual productivity gaps, and pressure is building in two distinct areas. 

As tools like agentic artificial intelligence (AI) and scribes move from pilot projects into live clinical environments, HIM professionals must determine how to properly govern and validate their use.

HIM leaders are confronting a familiar challenge that now carries much higher stakes: controlling access to protected health information in environments that are constantly changing.

Analyze common issues involved with patient matching and review steps your department can take to modernize processes and procedures.

Examine HIM's role in cyber-incident response as reporting rules tighten and timelines shrink.

As CMS continues its efforts to ramp up risk adjustment data validation (RADV) audits, HIM leaders can start preparing now.

Discover how artificial intelligence (AI) hallucinations can undermine compliance, damage credibility, and lead to costly reimbursement losses in appeals.