How Payers Can Use NLP to Improve Risk Adjustment Coding
When payers think about using NLP services, they often think about how they can embed an NLP-enabled process into the first pass coding process. The process of bringing a new technology into the risk adjustment process can be daunting, and payers should be cautious to...
Making Sure Protected Health Information Stays Protected
A primary concern for every healthcare professional is the safe, secure management of protected health information (PHI). This is especially true for anyone within health information management (HIM) that deals with the exchange of patient information between...
Hurricane Season 2018 – Are you prepared?
The hurricane season is upon us and as you know, even in the midst of a storm, healthcare providers are responsible for ensuring medical services continue. The importance of having a solid emergency preparedness plan is vital for hospitals and other healthcare...
Explosive Growth of Health Plan Requests Expected. Are you Prepared?
Planning and preparing for requests for clinical documentation from health plans can be extremely difficult from an operations perspective. While managing year-round requests to support denials, audit and second-level appeals, the arrival of the seasonal...
Confidentiality and the Battle against Substance Abuse
While HIPAA regulations allow health professionals to share health information regarding opioid abuse with a patient’s loved ones in emergency and dangerous situations, many HIM departments are still struggling with the release of information laws of such information...
Trump Halts Risk Adjustment Payments, Impacts Health Plans & Consumers
As if the complexities around healthcare affordability couldn’t get more convoluted, the latest news from the Trump administration to halt approximately $10.4 billion in risk adjustment payments has grave impacts to the healthcare industry. Risk adjustment, a...
Ciox Partners with Northwestern Memorial Healthcare
Ciox HealthSource to Advance Northwestern Memorial Healthcare’s ROI Process Ciox, a leading health technology company, announces today its partnership with Northwestern Memorial Healthcare, a health system comprised of more than 100 locations throughout the Chicago...
CC/MCC Analysis – What’s in Store?
Over the past few years, CMS has made known their intent to perform a comprehensive CC/MCC analysis to assess the appropriateness of each diagnosis codes ‘CC severity’. CC severity is the term used to describe a codes role as a DRG influencer in the inpatient...
Why Health Information Exchanges Are More Important Now Than Ever
The importance of Healthcare Information Exchange (HIE) is at an all-time high that is continually evolving to improve the quality and timeliness of care for patients.