Integrating facility and professional fee coding into one centralized department model can help organizations make the most of advances in technology and manage costs.
New tools, products, and training can help optimize the HIM department, but gaining approval the expense can be a challenge. Apply these lessons to make your next budget request a success.
Payers rely heavily on the use of data and data analytics to manage their risk. Follow these tips for using payer guidelines to understand what they’re looking for and how to improve documentation.
Although regulatory agencies have not banned the use of medical scribes, organizations must follow certain requirements. Learn how to define the scribe’s role and responsibilities and ensure that documentation is correctly certified.
The Hierarchical Condition Categories (HCC) risk-adjustment methodology is beginning to surface more frequently in both the acute and primary settings. Use these expert tips to help improve complete, compliant HCC capture.
When evaluating a code edit, it’s necessary to understand exactly when or where in the claim or billing process the edit arose. Look to coding guidance to help edit resolution efforts.
CMS plans to rebrand the Meaningful Use program as “Promoting Interoperability.” In a fact sheet, the agency said that the proposed changes outlined in the IPPS rule are meant to improve the use of EHRs and make it easier for providers to spend time with their patients.
The proliferation of electronic systems, applications, and medical devices in healthcare creates challenges within and across organizations. With the ever-expanding uses of healthcare information, it is critical to understand the impact of big data and data analytics and the importance of information governance.
