CDI

Just 13% of hospital CFOs ready for new payment models

By Meg Bryant for Healthcare Dive Dive Brief: Confidence among the country’s hospital CFOs is low, with just 13% saying their organization is “very prepared” to handle new healthcare payment and delivery models with current financial planning tools, according to Kaufman Hall’s 2019 CFO Outlook: Healthcare report. That’s down from 15% in 2018. Less than a quarter of…

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How to Report Shared/Split Visits

By John Verhovshek, MA, CPC for For the Record  A “shared” or “split” patient visit occurs when both a physician and a qualified nonphysician practitioner (NPP) meet face to face with a Medicare patient on the same date of service. In other words, the work of the physician and the NPP are “combined” into a single…

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Book excerpt: Review queries regularly to mitigate denials

By by Trey La Charité, MD, FACP, SFHM, CCDS for ACDIS CDI Blog People are human. This goes for clinicians, coders, and for CDI personnel. Mistakes happen. If left unchecked, however, mistakes become habits. Effective CDI programs understand this and take appropriate steps to ensure occasional mistakes don’t become recurring bad habits. Since the structure and…

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DRG Mismatches

By Cheryl Ericson, MS, RN, CCDS, CDIP for For the Record When discrepancies occur, the ensuing reconciliation process serves as a prime opportunity to educate CDI and coding staffs. Reconciliation rates monitor both clinical documentation improvement (CDI) and coding proficiency, a key performance indicator. However, many in leadership positions overlook the importance of trending reconciliation…

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Artificial Intelligence: 3 charts reveal what hospitals need in the near future

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…

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Hospitals are learning from industry how to cut medical errors

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…

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How AI & natural language processing technologies can improve outcomes: Q&A with RCCH HealthCare Partners CMIO Dr. Vishal Bhatia

By Jackie Drees for Becker’s Hospital Review Vishal Bhatia, MD, chief medical information officer at RCCH HealthCare Partners in Brentwood, Tenn., discusses the evolution of his role as CMIO and how artificial intelligence, natural language processing and voice recognition technologies can improve healthcare. Responses are lightly edited for clarity and length. Question: How has your role…

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CMS bid to overhaul E/M codes leaves few happy

With its proposed changes to payments and documentation for office visits, the agency is effectively forcing providers to reckon with a longstanding, oft-disputed problem. By Tony Abraham for Healthcare Dive Most healthcare players agree the evaluation and management billing codes used by CMS need an overhaul, but few like the manner to do so proposed…

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