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By David Lim and Rebecca Pifer for Healthcare Dive For one week in sunny Orlando, Florida, more than 43,000 health IT professionals converged in the mammoth Orange Country Convention Center to showcase technological innovations, argue about interoperability, network and pour creativity into their #HealthPolicyValentines tweets. Health IT’s biggest conference of the year ended Friday. As the…
By Cathy Farraher, RN, MBA, CCM, CCDS for ACDIS CDI Blog A typical day for a CDI specialist entails obtaining an assignment, whether it’s all payer or Medicare only, and determining the action course for the day. Best practice would be to perform follow ups on any previously queried charts to allow clinicians to have…
By Kelly Gooch for Becker’s Hospital Review Medical coding is a key component of revenue cycle management. When done efficiently and accurately, it helps ensure hospitals are properly reimbursed for the services they provide. Here are 15 things to know about medical coding: AAPC, formerly known as the American Academy of Professional Coders, describes medical coding as “the…
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…
By Tracy Boldt, RN, BSN, CCDS, CDIP, and Ellen Jantzer, RN, MSN, CCDS, CCS, CRC for ACDIS CDI Blog If your organization has an inpatient CDI team, decide if outpatient CDI will share the same reporting structure or if the teams should be separate. A shared reporting structure can allow the new outpatient CDI specialists…
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…
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…
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…