Maternal mortality and morbidity are critical issues that continue to affect the healthcare industry worldwide. Delve into the role CDI specialists play in improving data capture related to maternal care in the U.S. and how to engage hospital leaders in initiating an obstetrics clinical documentation program.
One of the most important ways that identifying social determinants of health (SDOH) can improve healthcare is by improving access to care. Learn how to use screening tools to increase capture of SDOH data.
CMS is proposing a balancing act in physician reimbursement, according to the 2024 Medicare Physician Fee Schedule (MPFS) proposed rule. Take a closer look at CMS' proposals for physician reimbursement for the coming year.
Hospitals could be in for a price transparency compliance shake-up if CMS moves forward with its proposals in the 2024 Outpatient Prospective Payment System (OPPS) proposed rule. Learn how these proposals could affect your organization.
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.