CMS Publishes RADV Medical Reviewer Guidance |
In the Medicare Advantage (MA) context, "risk adjustment" is the process by which the Centers for Medicare & Medicaid Services (CMS) reimburses Medicare Advantage Organizations (MAOs) based on demographic factors and the health status of enrolled members. By regulation, MAOs must
submit...
Click Here to Read More
|
Exam Study Guides Only $39.99!
Emergency Care: CDI in the ED Part II
|
It is my opinion that investing CDI resources into the neglected stepchild that is the hospital system ED is a worthwhile endeavor. Getting diagnoses captured early and repeatedly creates performance improvement. Even more importantly, improved documentation improves patient care, and that is the overarching goal of all healthcare
institutions. There are three main concerns when discussing ED CDI...
Click Here to Read More
|
New Diagnostic Codes for Substance Use Disorders and Avoidant/Restrictive Food Intake Disorder
|
Once a year, the National Center for Health Statistics (NCHS), the federal agency responsible for the use of the International Classification of Diseases – 10th revision (ICD-10) in the US, releases an updated version of the ICD-10-CM, the HIPAA-adopted code set for medical diagnoses used by medical providers, insurers, and health care administrators.
The 2018 update of the ICD-10-CM took effect on October 1, 2017, meaning that users of the ICD-10-CM are required to start using the updated codes as of that date.
Click Here to Read More
|
New Coding Study Reveals E&M Encounters Per Hour and the Need for Cyber Security
|
In a recent poll, only 80 percent of respondents to a question of how many evaluation and management (E&M) encounters they could code per hour said that they spent at least some portion of their time at work performing that
task.
Click Here to Read More
|
Providers Take Note: These Simple Strategies Will Improve Billing, Patient Satisfaction
|
A new survey by the Medical Group Management Association suggests providers, especially hospitals, are missing out on key areas to improve when it comes to patient billing, payments and satisfaction.
Click Here to Read More
|
Exam Study Guides Only $39.99
|
|
|
