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Guidance expected to address when a provider-based location shares space with a clinic or another hospital. At the American Health Lawyers Association Medicare and

Spring has arrived in the Northeast and people are getting back to their exercise schedules. I was thinking about this topic as I was

The Patient-Driven Payment Model is the biggest overhaul of nursing home reimbursement in at least a generation, but it is only a temporary fix,

Diseases and procedures are hitting the news. Last week, the Food and Drug Administration (FDA) announced that 35 people had reported seizures (R56.9) after

When efficiency is not truly efficient, after all. “Efficiency” may be defined in many ways, including the following, as described by dictionary.com: Able to

IRF countdown is the change to use quality indicators for CMG payment calculation. The final rule for FY 2019 for Inpatient Rehabilitation Facility (IRF)

UnitedHealthcare and the American Medical Association have joined forces to enable healthcare organizations and payers to use ICD-10 codes for social determinants of health.

If you are wondering why you should read this if you think you are not a rebeginner, well, it is because you actually are

For most health information management (HIM) professionals, many aspects of risk-adjusted coding might give rise to the phenomenon, at least as it pertains to

By combining traditional medical data with self-reported SDOH data, the codes trigger referrals to social and government services to address people’s unique needs. KEY

Medical coding is a key component of revenue cycle management. When done efficiently and accurately, it helps ensure hospitals are properly reimbursed for the

Complications of CKD include early death and heart disease. Chronic kidney disease (CKD) affects 15 percent of United States adults, or 37 million people,

The American Health Information Management Association (AHIMA) has announced a collaboration with the American Health Care Association (AHCA) to provide in-depth coding and clinical

AI tools include anomaly detection, predictive analysis, and social network analysis. Medicare fraud is a serious issue and an expensive one. “Improper payments” amount

The “economic burden” of prescription opioid misuse is nearly $80 million. We were discussing opioid dependence in my CDI education session last week and

AMA’s changes are complementary to the CMS proposed changes to this code set. The Centers for Medicare & Medicaid Services (CMS) is moving quickly

The revision was long pending and will feed the country-level mortality and morbidity data requirements to progress towards achieving sustainable development goals (SDGs) and

Are payers playing fair when it comes to uating cases? It seems that every day there are articles or legislation in the state and

In October 2015, physicians across the United States transitioned from the International Statistical Classification of Diseases and Related Health Problems, Ninth Revision to the

Part II continues to explain the nuances in the changes made by CMS to its statistical sampling methodology. The Centers for Medicare & Medicaid

Change was a key topic cited by the head of the national HIM advocacy organization. EDITOR’S NOTE: Valerie Watzlaf, 2019 American Health Information Management

Starting October 1, skilled nursing facility operators will have no choice but to become proficient with a specific type of medical coding that previously

As the provision of healthcare changes, so too must clinical documentation improvement. I have always been convinced of the strong capabilities of current clinical

Effective Jan. 2, 2019, the Centers for Medicare & Medicaid Services (CMS) radically changed its guidance on the use of extrapolation in audits by

Global Healthcare Revenue Cycle Management Market is set to exceed USD 100 billion by 2024; according to a new research report by Global Market

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