Three Strategies for Managing HIM Demands During Payer Audits and Reviews
Mar01

Three Strategies for Managing HIM Demands During Payer Audits and Reviews

The rising volume of requests from payers heightens the burden on HIM to handle the associated release of information demands. Following three strategies can help HIM departments better control the surge in payer requests.

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AHIMA Releases ICD-10 Coding Productivity White Paper

A new white paper from AHIMA examines ICD-10-CM/PCS coding productivity from three different perspectives: where it’s been, where it stands now, and how it’s expected to evolve in the near and distant future.

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Study Finds Coding Policy Changes Give Appearance of Reduced Hospital Readmission Rates

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.

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Five Ways Artificial Intelligence Is Transforming Healthcare Operations
Jan01

Five Ways Artificial Intelligence Is Transforming Healthcare Operations

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.

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Bundled Payments Out-perform Expectations

One element of the Affordable Care Act is exceeding even its original advocates’ wildest dreams: Medicare’s bundled payment program for joint replacements.

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Social Determinant ICD-10 Codes Can Be Assigned Based on Non-physician Documentation

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.

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