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...
by Scot Nemchik | Aug 6, 2019 | Clinical Documentation Improvement, Clinical Revenue Integrity, Coding, Denial Management, True Clinical Picture
For quite some time now CMS has reiterated their plan to perform a comprehensive assessment of current ICD-10-CM complication and comorbidity (CC) and major complication and comorbidity (MCC) designations. This year’s proposed rule, published on April 23, 2019...
by Ciox Health | Jul 11, 2019 | Press Release, Release of Information
Comprehensive ROI Network, Robust Services and Technology Platform: Key Drivers in Continued Market Growth ALPHARETTA, Ga. – July 11, 2019 – Ciox announces today a wave of new agreements inked between the health data technology leader and several leading healthcare...
by Geoff New, MBA, RHIA, CRCR | Jun 21, 2019 | Clinical Documentation Improvement, Clinical Revenue Integrity, Denial Management, True Clinical Picture
The healthcare landscape becomes more complex by the day. Value-based care. Regulatory requirements. Systems integration. Resource constraints. Payer payment tactics. All of these items, in addition to maintaining efficient daily operations, create challenges for the...
