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CDI

Revenue Cycle Management is Top Software Investment Priority for Providers

By Jay Asser for Health Leaders Coming off the heels of the COVID-19 pandemic, providers are doubling down on software investments and prioritizing revenue cycle management to alleviate macroeconomic challenges, according to a report from Bain & Company and KLAS. The research finds that 45% of providers accelerated software investment over the past year, with 10% pulling…

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Internal Audits Help Combat Payer Risk

By Dawn Crump, MA, CHC, SSBB for For the Record Wonder Woman has a golden lasso. Captain America has an impenetrable shield. Thor has a lightning hammer. Just as these magical tools bolster superheroes’ defenses, insights gleaned from internal audits are your organization’s superpower to prevent revenue recoupment and drive down risk. Audits identify revenue…

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Social determinants of health and medical coding: What to know

Andeis Robezienks for AMA Recognition of the impact that social determinants of health (SDOH) have on patients’ outcomes is growing, as is the desire to incorporate SDOH factors into patient-care plans. But awareness of an existing data infrastructure that could help physician practices do so is limited. “The clinical care we provide only accounts for…

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Journal excerpt: Familiarizing yourself with coding guidelines

From the ACDIS CDI Blog Because every chart is coded before being sent to payers, it’s important that CDI specialists have a working knowledge of code sets and coding rules. The inpatient prospective payment system (IPPS) final ruling, traditionally updated annually, has been changed to update twice a year on April 1 and October 1 beginning…

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