Healthcare organizations often house the release of information (ROI) function within the HIM department. However, ROI programs may exist in other departments such as radiology, clinics, home health, and patient financial services. Consider the benefits of different models for various organization types.
Acute kidney injury (AKI) is a sudden decrease in kidney function that can have serious consequences. Follow these tips to ensure accurate clinical validation and coding for AKI for effective patient care and appropriate reimbursement.
One of the most important, and sometimes one of the most challenging, initiatives for providers is the National Correct Coding Initiative’s procedure-to-procedure edits. Consider this expert insight on how to apply them and their role in ensuring correct coding.
Learn about the changing landscape of physician documentation and its critical significance in supporting accurate reimbursement, coding, quality measures, and resource allocation.
Chronic migraines and epilepsy can be complex diagnoses that require thorough documentation. Review recent ICD-10-CM code updates for these conditions to ensure they're reported correctly.
The federal healthcare program Anti-Kickback Statute is a broad criminal statute that touches on numerous arrangements healthcare organizations may enter into. Refresh your knowledge of Anti-Kickback compliance including safe harbors.
Maintaining an accurate and up to date chargemaster is an essential ongoing process. Apply these expert tips to improve chargemaster maintenance and boost charge capture.
Maternal mortality and morbidity are critical issues that continue to affect the healthcare industry worldwide. Delve into the role CDI specialists play in improving data capture related to maternal care in the U.S. and how to engage hospital leaders in initiating an obstetrics clinical documentation program.
One of the most important ways that identifying social determinants of health (SDOH) can improve healthcare is by improving access to care. Learn how to use screening tools to increase capture of SDOH data.
