medical coding

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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Telemedicine — Health Care’s New Documentation Paradigm

By Selena Chavis for Healthcare IT Experts weigh in on potential risks and best practices. To say that telemedicine has carved out a critical niche within the COVID-19 pandemic would be an understatement. Given the greenlight for reimbursement by the Centers for Medicare & Medicaid Services (CMS), remote care models, which are advancing at breakneck…

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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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CMS proposes 1,495 changes to ICD-10 diagnosis codes

By Alia Paavlov for Becker’s Hospital Review CMS proposed 1,495 changes to the ICD-10-CM diagnostic code set in its proposed Inpatient Prospective Payment System rule released April 18. A large slew of the proposed changes focus on brain illness and injuries — mostly dementia-related diagnoses  — and endometriosis. Specifically, CMS proposed a set of codes that focus…

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