By Cheryl Ericson, RN, MS, CCDS, CDIP for ICD10monitor Clinical validation queries have been recommended for almost a decade, yet many clinical documentation integrity (CDI) and coding professionals continue to struggle with crafting these types of queries. The Guidelines for…
By G Hatfield for HealthLeaders As the nursing shortage looms, new expectations give way to new recruiting strategies. KEY TAKEAWAYS In the face of a daunting workforce shortage, health systems are struggling to recruit and retain the best talent. Nurse…
By Traci Miller Dolbey has once again been recognized as the Best in KLAS for Computer-Assisted Coding (CAC), marking its ninth consecutive year earning this distinction. This award, based on direct feedback from healthcare providers, underscores Dolbey’s ongoing commitment to…
By Susan Chapman, MA, MFA, PGYT for For The Record HIM continues to evolve, especially as technological advances like artificial intelligence (AI) are rapidly infiltrating health care. As the health care industry experiences this unprecedented transformation, HIM leaders offer their…
From ACDIS CDI Strategies Upcoding—when higher-level codes are assigned than are justified to increase reimbursements—will remain a major ethical dilemma in 2025 for coders, according to survey data released by Black Book Research. Of more than 4,000 surveyed health information management…
By ACDIS for CDI Strategies The 2025 Medicare Physician Fee Schedule (MPFS) final rule was released on November 1 and contains a number of billing modifications to payment rates, services, telehealth rules, and other such services. According to the National…
By Tiffany Ferguson, LMSW, CMAC, ACM for RACmonitor On Oct. 11, the Centers for Medicare & Medicaid Services (CMS) issued a final rule (CMS 4204-F) establishing a new appeals process for Medicare beneficiaries who are initially admitted to a hospital…
By Susan Chapman, MA, MFA, PGYT for For The Record Gender identity is how individuals perceive themselves, be it different or the same as the sex they were assigned when they were born.1 Gender identity differs from gender expression in…
From ACDIS CDI Strategies To comply with a summer court order, the fiscal year (FY) 2025 Hospital Inpatient Prospective Payment System (IPPS) was revised a day before its implementation on October 1 to reduce payments for low wage hospitals, JustCoding…
By Andrew Cass for Becker’s Hospital CFO Report Regulatory challenges, evolving coding practices and ethical concerns are the critical issues facing medical coders, according to an Oct. 18 report from Black Book Research. Here are five things to know from…
