by Scot Nemchik | Mar 27, 2020 | Clinical Revenue Integrity, Coding
For the most part, updates to code sets and the guidelines that govern their utilization are predictable. Every year, we can bank on changes to the Inpatient Prospective Payment System going into effect on October 1st, and changes to the Outpatient Prospective Payment...
by Janice Tarlecki, MBA, RHIA, CCS | Feb 28, 2020 | Clinical Revenue Integrity, Coding
IMPORTANT UPDATE – New ICD-10-CM Code Effective April 1, 2020 Given the need to capture the reporting of COVID-19, The Centers for Disease Control has changed the effective date of new diagnosis code U07.1, COVID-19, from October 1, 2020 to April 1, 2020. Click...
by Ciox Health | Feb 4, 2020 | Clinical Revenue Integrity, Press Release
Mr. New among 205 health leaders worldwide to achieve the lifelong distinction ALPHARETTA, Ga. – February 4, 2020 – Ciox, a leading health technology company, today announced that its Vice President of Provider Solutions and Revenue Cycle, Geoffrey New, was recently...
by Geoff New, MBA, RHIA, CRCR | Sep 11, 2019 | AHIMA, Clinical Documentation Improvement, Clinical Revenue Integrity, Denial Management, True Clinical Picture
For many years, healthcare organizations operated exclusively under fee-for-service reimbursement models. The more services provided, the more healthcare providers were paid. But the model was allowing costs to spiral out of control and quality to suffer. Value-based...
by Janice Tarlecki, MBA, RHIA, CCS | Sep 5, 2019 | Clinical Revenue Integrity, Coding
On August 2, 2019, the Centers for Medicare and Medicaid Services (CMS) released the Fiscal Year (FY) 2020 Medicare Hospital Inpatient Prospective Payment System (IPPS) final rule. The rule contains many changes to MS-DRGs that will significantly affect the day-to-day...
by Scot Nemchik | Aug 15, 2019 | Coding, True Clinical Picture
This blog post is part of our ongoing series discussing the True Clinical Picture. Before we go any further, let’s quickly reflect on what we mean by True Clinical Picture. TRUE CLINICAL PICTURE: A complete and comprehensive record that serves as the source of truth...
