Medicare’s Hospital Readmissions Reduction Program, which permitted the use of additional diagnosis codes, impacted hospitals’ risk adjustment scores, resulting in the appearance of lower readmission rates, according to the study authors.
While the practical applications of artificial intelligence (AI) are still being discovered, one area of AI — natural language processing (NLP) — is already helping advance the revenue cycle. Discover how the right NLP can support accuracy, efficiency and revenue integrity by powering comprehensive clinical documentation improvement and coding earlier in the process.
One element of the Affordable Care Act is exceeding even its original advocates’ wildest dreams: Medicare’s bundled payment program for joint replacements.
The American Hospital Association recently reaffirmed that providers can assign social determinant codes in ICD-10-CM based on documentation from any member of the care team, including non-physicians such as social workers, case managers, nurses, and other allied staff.
The release has no impact on practicing coding professionals—and will not for an undetermined number of years, according to AHIMA coding experts.
As healthcare delivery is increasingly moving from acute care facilities and into outpatient and post-acute settings, patient data is moving along with it.