Seven New Opportunities For a Sustainable Revenue Cycle
Jul01

Seven New Opportunities For a Sustainable Revenue Cycle

Creating a sustainable revenue cycle occurs with the interaction of a number of important functions, people, and processes, all of which must work in tandem.

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Documentation Integrity Issues Are C-Suite Issues
Jun25

Documentation Integrity Issues Are C-Suite Issues

Clinical documentation improvement is a provider’s best defense against payment denials, audits, and preserving revenue integrity—which is why the people sitting in the C-suite should know what it is and prioritize it.

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Lawmakers Propose Legislation Aimed at Addressing Surprise Medical Bills
May23

Lawmakers Propose Legislation Aimed at Addressing Surprise Medical Bills

There is rare bipartisan momentum in support of several different pieces of legislation aimed at addressing the issue of “surprise medical bills”— exorbitantly high emergency and other medical department bills.

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Groups Propose New Social Determinant ICD-10 Codes

The American Medical Association and United Healthcare have proposed more than 20 new ICD-10 codes for social determinants of healthcare that identify social diagnoses or barriers to healthcare. The proposed expanded codes “would capture these social diagnoses and barrier situations to assist providers and consumers in obtaining routine care, medications, and preventive services that are not captured today, thereby benefiting the industry as a whole in the management of patient care,” states the United Healthcare and AMA proposal in a document made available by the CDC.

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AHIMA, AHCA Collaborate to Train Skilled Nursing Facilities in ICD-10, CDI

With the biggest reimbursement system change for skilled nursing facilities (SNFs) in 20 years approaching, the American Health Information Management Association (AHIMA) and the American Health Care Association (AHCA) partnered up to ensure SNFs were ready.

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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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