As hospitals face mounting challenges, preventing and managing denials is more important than ever. Learn how to use data from electronic remittances to conduct root cause analysis and stay ahead of potential future denials.
CDI’s work touches nearly every facet within an organization, from the business departments (e.g., financial, contracts, denials management, etc.) to clinical initiatives.
Correct coding for mechanical ventilation depends upon a thorough grasp of medical terminology and coding guidelines. Brush up on your knowledge of mechanical ventilation coding to ensure it's done right.
Denials management has gained new urgency as payers adopt more aggressive tactics and hospitals continue to face revenue shortfalls. Learn how organizations are structuring denials management and reporting denials and appeals data.
Although there are basic expectations of a utilization review (UR) team member, organizations should develop performance expectations and competencies for their UR staff based on their own needs. Use this sample UR specialist job description as a template for your organization.
ICD-10-CM codes for traumatic fractures specify the type of bone injury, affected area of the body, and in some cases, the degree of soft tissue damage. Refresh your knowledge of terminology and documentation requirements to ensure accurate coding.
When looking into the general overview of a CDI specialist’s responsibilities, it is important for new specialists to understand the basics of coding, querying, and physician education. Use these strategies to brush up on the CDI essentials.
Modifier -58 describes a staged or related procedure or service by the same provider during the postoperative period. Apply these experts tips to ensure it's used correctly.
Ongoing labor shortages and a competitive hiring market are putting a strain on HIM departments. As competition for qualified staff increases, learn how HIM leaders can turn to a variety of short- and long-term fixes and even find opportunities for improvement.
