Auditing and monitoring

Learn how CMS plans to enhance its risk adjustment data validation auditing efforts for Medicare Advantage (MA) plans and recover overpayments.

Identify key challenges and concerns tied to the implementation of new CDI technologies across health systems. 

U.S. hospitals and health systems are facing a perfect storm of financial pressures, according to a recent American Hospital Association (AHA) report.

Review these tips to prepare for the increased use of artificial intelligence (AI) in risk management, coding accuracy, and audit workflows.

Discover the benefits of keeping tabs on additions to the Office of Inspector General's (OIG) Work Plan.

Discover strategies for building a high-performing data integrity team that safeguards patient data, reduces financial risk, and strengthens operational efficiency.

Dissect patient identification pain points and the dangers of frequent mismatches to understand the need for federal reform.

As cyber threats driven by artificial intelligence (AI) persist, discover how HIM professionals can work with other departments to implement proactive security measures.

Stacey Sexton, RHIA, details how artificial intelligence and other technological advancements can impact HIM, coding, and billing processes.

Review strategies, workflow adjustments, and proactive measures by HIM professionals to combat denials.