August 3, 2020
That’s an HCC?
Each year the impact of risk adjustment using CMS-HCCs is being recognized progressively more by those involved in any aspect of Population Health…
July 22, 2020
Pre-visit Planning: Uncovering Stones for ACO Financial Viability Amidst COVID-19
When you think of the saying “leave no stone unturned”, what comes to mind? Maybe something of value was lost, and you were fervently trying…
June 15, 2020
Documentation and Telehealth
“The cat is out of the bag” said Jim Parker, a top official at the Department of Health and Human Services regarding telehealth. However, what…
May 7, 2020
Pre-Bills and Revenue Security—The Return of non-COVID-19 Patients to the Hospital
Treating Unmet Needs and Chronic Conditions Patients who have been kept away or are staying away from acute care hospitals are experiencing a pent-up and…
April 22, 2020
Tips for Proactive Denial Management
According to a Healthcare Innovation article, denials can erode a healthcare organization’s bottom line, resulting in the permanent loss of an estimated 3%…
April 2, 2020
Guidance for Documenting COVID-19 Diagnoses
I was recently interviewed for the March issue of Revenue Integrity Insider on guidance for documenting COVID-19. The following blog post covers some of the key…
March 30, 2020
National Doctors’ Day
During the month of March, we take this opportunity to celebrate the work of physicians to help keep their communities healthy. It is a time…
March 19, 2020
6 Steps to a Quality-centered CDI initiative
This blog is a recap of our webinar CDI: The Quality Story. Request it on demand with the form below. Documentation and coding are crucial…
March 6, 2020
The Truth About the Coronavirus (COVID-19)
Why is it called Coronavirus? Coronaviruses when seen under an electron microscope have surface projections, that give the virus an appearance of having a corona.
February 1, 2020
Acute Myocardial Infarction (AMI)
Despite being one of the most common conditions treated in the hospital, the diagnosis of acute myocardial infarction is often misunderstood. The 4th universal definition…
January 1, 2020
Targeted Probe and Education (TPE)
Ready or not Targeted Probe and Education (TPE) is happening. Since 2014, CMS directed and MAC administered Probe and Educate Strategies have been in existence.