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By Sheila Duhon, MBA, RN, CCDS, A-CCRN, CCS for ACDIS Blog It’s often a challenge for CDI specialists to obtain precise documentation of anemia in the medical record. A hospitalist once asked me why I sent him a query for anemia because since he would treat it the same way no matter what, he wanted…
By Angie Stewart for Becker’s ASC Review Insurers may wrongly deny a claim and hope providers don’t notice it’s actually a covered service, according to medical coding and billing specialist Steven Verno. Mr. Verno shared the following tip for appealing a non-covered service on LinkedIn: “You need proof that the insurance company is wrong. The…
By Tom Sullivan for Healthcare IT News AI is already having a big impact, but strategic planning is not keeping pace and healthcare organizations need to be proactive about developing tools now. Healthcare executives expect artificial intelligence to be among the most impactful technologies fueling innovation, but few are crafting strategies to advance emerging AI…
By Samantha Liss for Healthcare Dive Dive Brief: With its final Outpatient Prospective Payment System (OPPS) rule for 2019, CMS is eliminating the pay discrepancy Medicare beneficiaries face visiting a hospital-owned outpatient setting as opposed to a traditional doctor’s office. CMS said cutting reimbursement at hospital-owned outpatient settings for these visits will save Medicare $380 million…
By Atul Gawande for The New Yorker On a sunny afternoon in May, 2015, I joined a dozen other surgeons at a downtown Boston office building to begin sixteen hours of mandatory computer training. We sat in three rows, each of us parked behind a desktop computer. In one month, our daily routines would come…
By Tracy Boldt, RN, BSN, CCDS, CDIP, and Ellen Jantzer, RN, MSN, CCDS, CCS, CRC for ACDIS Blog The rules of compliant query practice do not change based on the setting. We must consider query construction and wording of provider communication with the same eye for compliance as we have traditionally done in the inpatient…
By Alyssa Rege for Becker’s Hospital Review Forbes has released its annual 30-under-30 list for 2019. The 2019 class of healthcare-minded individuals features a number of physicians, biotech innovators and researchers all aiming to improve care delivery in the U.S. The 2019 class was judged by four healthcare industry leaders: Kristina Burow, managing director of…
By Alyssa Rege for Becker’s Hospital Review Healthgrades released its 2019 National Health Index on Oct. 23. The study examines 100 cities across the U.S. to determine the cities leading the way in healthcare. Researchers evaluated more than a dozen variables for the index and grouped them into four healthcare factors: whether residents of each city were…
By Tom Sullivan for Healthcare IT News BOSTON — Picking a point out on the horizon, the late 2020s, Michael Rogers gave a glimpse of the changes coming to healthcare by that time. “The American process is a pretty messy one sometimes,” Michael Rogers said. “That is where the healthcare revolution is today, but we’re…
By the Economist AFTER a brain aneurysm in 2004, Mary McClinton was admitted to Virginia Mason Medical Centre in Seattle. Preparing for an x-ray, the 69-year-old was injected not, as she should have been, with a dye that highlights blood vessels, but with chlorhexidine, an antiseptic. Both are colourless liquids. The dye is harmless; the…