HIM Briefings

Although CMS is projecting higher overall inpatient hospital payments in the fiscal year (FY) 2024 Inpatient Prospective Payment System (IPPS) final rule, some facilities could be facing tighter margins and lower payments for certain services. Learn what you need to do to ensure your organization is in compliance with new requirements.

Accurate revenue code selection affects concerns central to the operations of healthcare provider organizations such as compliance and reimbursement. Apply this expert advice to ensure revenue codes are correctly assigned.

Medical necessity is a term used to describe the need and justification for services a patient will receive, including diagnostic studies or therapeutic treatment. Understand how Medicare defines the term and what requirements must be met.

The CDI educator role is dynamic, evolving to fit the ever-changing landscape of coding and CDI. Consider these tips to help ensure your CDI educators are meeting current needs.

Complete and accurate reporting under the Hospital Inpatient Quality Reporting Program can result in increased reimbursement. Learn how to use coding and CDI teams to improve the collection of correct data under this program.

When coders think of reporting for neonates and critical care, most think of CPT codes. However, ICD-10-PCS also gives codes to use for procedures for newborns/neonates related to respiratory assistance quickly after birth, when necessary. Refresh your knowledge of these codes.

Incorporating annual Current Procedural Terminology (CPT®) code updates is a core part of HIM maintenance. Apply these tips to ensure CPT code changes are correctly implemented and staff are kept in the loop.

Contract negotiations can make or break a hospital, because in addition to setting the price list for services provided to the insurer’s members, the negotiations also affect the resources that the provider expends to comply with the contract terms. Use this sample language as a template for your organization.