Medicare covers observation care as an outpatient service under Part B payments. (Medicare reimburses different healthcare providers under different systems or parts—Part A for hospital payments, Part B for medical/doctor’s services,...Read More »
Are you looking for a quick and easy way to engage your providers? Homemade baked goods and gifts recognizing consistent high quality documentation are a viable option. But, while treats are great for some, the best strategy for motivating providers can, in many cases, be their own track records...Read More »
As you plan your itinerary, we are interviewing a handful of speakers to give you a feel for the sessions. This week, we spoke with Susan Edamala RN, MSN, CCRN, CDI specialist at the University of Illinois in Chicago, who, along with Karl Kochendorfer, MD, FAAFP, will present “...Read More »
As you start to plan your itinerary, we’re interviewing a handful of our speakers to give you a preview of the sessions and what you can expect at this year’s event. This week, we spoke with Carrie Norwood, RN, BSN, CPN, CDI Specialist at Children’s of Alabama in Birmingham, who...Read More »
by Shannon Newell, RHIA, CCS, AHIMA-approved ICD-10-CM/PCS trainer
The Hospital Readmissions Reduction Program (HRRP) is a CMS pay-for-performance program that links the amount hospitals are paid to risk-adjusted readmission rates. Measures included in the program are claims...Read More »
While some providers may decide to tackle documentation and coding challenges through coder and physician education alone, the audit piece is perhaps just as important, since delayed claims submission due to physician queries directly affects cash flow and, therefore, a hospital's operating...Read More »
As you begin to plan your itinerary, we will be chatting with a handful of our speakers to give you a preview of the sessions we are offering. This week, we interviewed Cindi Stefl RN, BSN, CCDS, CDS Manager at Systems & Technology Service Center in Lakewood, Colorado, who,...Read More »
While many facilities have developed robust denial management teams and have implemented comprehensive procedures for submitting appeals, one of the more powerful strategies in reducing denials can be summed up with this well-known expression: Nip it in the bud.
