Coding and billing professionals must ensure that medical record information is accurate, up to date, and compliant. In this article, Holly Cassano, CPC, CRC, defines late entries, corrections, and addendums, and explains the proper methods used to alter health records while maintaining Medicare compliance.
The ICD-10-CM Official Guidelines for Coding and Reporting provide a roadmap for accurate diagnosis coding. Kimberly Lee, M.Ed., RHIA, CCS-P, unpacks fundamental ICD-10-CM coding concepts.
A properly calibrated audit tool is key to uncovering educational opportunities for CDI specialists. Use this expert advice to help your organization get the most out of CDI audits.
Various analyses must be conducted to maintain compliance, assist with charge capture, solve account edits, and review any possible coding trends or issues that may cause claim delays, denials, or unnecessary rework. Learn how to effectively leverage this data to improve processes and protect revenue.
Many healthcare systems are looking at how to expand their CDI program to include outpatient and ambulatory settings. Jennifer Boles, BS, COC, CRC, CCDS-O, explores her ambulatory CDI program’s success and offers advice for those looking to expand.
The Office of Inspector General (OIG) recently released a data brief on billing risks associated with Medicare telehealth services during first year of the COVID-19 pandemic.
Starting on October 6, the definition of electronic health information (EHI) will include “the entire scope of the EHI definition [i.e., ePHI that is or would be in a Designated Record Set (DRS)].”
In recent years, the Office of Inspector General (OIG) has taken aim at case managers and discharge planners who violated federal anti-kickback statutes—specifically those who took items or payments in exchange for post-acute referrals.
Medicare beneficiaries who took part in telemedicine visits during the pandemic were more likely to stick with medication therapies to treat their opioid use disorder (OUD) and less likely to experience a drug overdose, according to a JAMA Psychiatry study.
In August, the Office for Civil Rights (OCR) announced a settlement with New England Dermatology P.C., known as New England Dermatology and Laser Center, over the improper disposal of PHI, which is a potential HIPAA Privacy Rule violation.
