by Geoff New, MBA, RHIA, CHFP, CRCR, FHFMA, FAHIMA, VP of Provider Solutions, Brad Allen MBA, RHIA, Senior HIM consultant | Jan 7, 2021 | Clinical Documentation Integrity, Clinical Revenue Integrity, Coding, Denials Management, Providers
A clean slate. A fresh start. A new beginning. Whatever phrase you use, it’s that time of the year when everyone makes resolutions to eat better, be better, and live better. Similarly, for healthcare organizations, it’s a time to recalibrate and reset—to pivot and...
by Scot Nemchik, VP of Coding Education | Sep 18, 2020 | Clinical Revenue Integrity, Coding
Right about two weeks from now, we’ll be heading into our sixth year of ICD-10 in the US! Hard to believe. They say that kids grow up fast, and it turns out the same can be said for code sets. Thankfully though, we don’t need to concern ourselves with adolescent code...
by Geoff New, MBA, RHIA, CHFP, CRCR, FHFMA, FAHIMA, VP of Provider Solutions | Apr 1, 2020 | Clinical Documentation Integrity, Clinical Revenue Integrity, Coding, Denials Management, True Clinical Picture
As HIM professionals, we learn the importance of documentation very early in our education and careers. And we know two things for sure: (1) every record represents a real person, and (2) if it wasn’t documented, it didn’t happen. That’s why during any disaster, and...
by Scot Nemchik, VP of Coding Education | 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, Director of Advanced Education | 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 Janice Tarlecki, MBA, RHIA, CCS, Director of Advanced Education | 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...