Fusion CAC

10 Proven Ways to Reduce Hospital Readmissions

By Jaimie Oh for Becker’s Hospital Review The reasons hospital and health system leaders should be concerned with driving down preventable readmissions are clear. Under healthcare reform, healthcare providers with high levels of preventable readmissions face the potential of losing a portion of their federal payments. The Hospital Readmissions Reduction Program, which is part of…

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How the seemingly largest hospital bill came to be

Written for FierceHealthcare It may be the largest hospital bill ever. Estimated at $9.2 million, including interest, the bill is from Tampa (Fla.) General Hospital for the care of deceased Tameka Jaqway Campwell. Although the American Hospital Association, the Health Care Financial Management Association, and even the Guinness Book of Records couldn’t confirm the highest…

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Portraits of Progress in ICD-10

posted by Chris Dimick ~ SPECIAL COVERAGE: AHIMA 2011 ICD-10 SUMMIT ~ Since it was planted 30 years ago, the ICD-9 code set has grown roots deep into the healthcare system. Within individual organizations and enterprises, those roots can reach into nearly every department and function. Upgrading to ICD-10 thus requires organizations deconstruct their…

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RACs Using “Semi-Automated” Claims Review

By: James Carroll for HIM Connection, April 12, 2011 Providers familiar with automated claims reviews and complex claims reviews by the recovery audit contractors (RAC) now face another method of overpayment identification: “Semi-automated” claims review. Semi-automated review strays a bit from the automated and complex methods of overpayment identification recognized in the RAC statement of…

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Transitioning Coding Professionals Into New Roles in a Computer-Assisted Coding (CAC) Environment

Transitions are common in the healthcare marketplace today. Encoding of clinical data is a key element of the health information management (HIM) profession. It binds the provision of care to the systems serving both clinical and administrative needs. Coding professionals are experts at adapting to change, since the code sets and coding guidelines require frequent…

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ICD-10 Impact on Productivity

Originally Published by AAPC, March 9, 2011 The implementation of ICD-10 brings an exciting challenge. Some see it as an obstacle but it really is an opportunity to enhance our skills and knowledge in our careers. There will be a learning curve that comes with ICD-10; the codes are very different, the guidelines have changed…

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No Code Left Behind

By Elizabeth S. Roop, For The Record, Vol. 23 No. 5 P. 10 Backed by a powerful engine, computer-assisted coding provides a comprehensive solution capable of reading and interpreting reports. With HIT system acquisition and implementation and the training required to meet a growing number of mandates, it is difficult to envision any hospital shifting…

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