Hospitals continue to acquire or affiliate more closely with physician practices at a breakneck speed to operate more effectively under value-based purchasing or accountable care organization reimbursement models. But many organizations struggle with how to integrate their different EHR systems, forms, and templates long after the physicians become hospital employees.
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.
