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.
Although compliant querying is clearly spelled out in inpatient CDI, where patient encounters can last three to five days, it’s more complex in the fast-paced ambulatory world where single patient encounters are shorter and may be spread over a year’s time. Experts weigh in on the best approach to effective, compliant outpatient queries.
