medical coding

‘Significant Ramifications’: Medical Group Opposes HCC Coding Changes

By Amanda Norris for Health Leaders CMS recently released proposed changes to the CMS-HCC Risk Adjustment Model for payment year 2024 in February, with a public comment period that ending surprisingly quick. These changes will directly affect Medicare Advantage organizations as the model informs payments to Medicare Advantage plans. “The proposed changes (Model V28) would make significant changes to…

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From Customer to Colleague: Jennifer Cooper Brings a Unique Perspective to the Dolbey Team

Jennifer Cooper Enhances the Dolbey Team with Decades of Healthcare Leadership and Client-Centric Insights CONCORD, OH – Dolbey, a leading provider of healthcare documentation solutions, is excited to announce the newest addition to the Dolbey team, Jennifer Cooper. Jennifer will work as Program Manager with previous experience as the Director of Health Information Management at…

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CMS Ups Reimbursement For Certain SDOH Codes

By Amanda Norris for Health Leaders Media CMS recently released the fiscal year (FY) 2024 Inpatient Prospective Payment System (IPPS) final rule. Along with its yearly payment rate changes, the final rule placed a focus on promoting high-quality care and rewarding hospitals that deliver such care to underserved populations. Notably, CMS finalized a higher severity level designation for…

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Dolbey introduces the next level in CDI intelligence with CDI Alerts at ACDIS 2023

CHICAGO, IL – Dolbey is unveiling their newest innovation, CDI Alerts, at the 2023 ACDIS National Conference at the Hyatt Regency, Chicago, May 8-11. CDI Alerts is an add-on feature for the already robust Fusion CDI software, used by hospitals’ clinical documentation improvement staff (CDIS) to assist in capturing the most accurate documentation possible. Accurate…

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Revenue Cycle Management is Top Software Investment Priority for Providers

By Jay Asser for Health Leaders Coming off the heels of the COVID-19 pandemic, providers are doubling down on software investments and prioritizing revenue cycle management to alleviate macroeconomic challenges, according to a report from Bain & Company and KLAS. The research finds that 45% of providers accelerated software investment over the past year, with 10% pulling…

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Telemedicine — Health Care’s New Documentation Paradigm

By Selena Chavis for Healthcare IT Experts weigh in on potential risks and best practices. To say that telemedicine has carved out a critical niche within the COVID-19 pandemic would be an understatement. Given the greenlight for reimbursement by the Centers for Medicare & Medicaid Services (CMS), remote care models, which are advancing at breakneck…

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Internal Audits Help Combat Payer Risk

By Dawn Crump, MA, CHC, SSBB for For the Record Wonder Woman has a golden lasso. Captain America has an impenetrable shield. Thor has a lightning hammer. Just as these magical tools bolster superheroes’ defenses, insights gleaned from internal audits are your organization’s superpower to prevent revenue recoupment and drive down risk. Audits identify revenue…

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Social determinants of health and medical coding: What to know

Andeis Robezienks for AMA Recognition of the impact that social determinants of health (SDOH) have on patients’ outcomes is growing, as is the desire to incorporate SDOH factors into patient-care plans. But awareness of an existing data infrastructure that could help physician practices do so is limited. “The clinical care we provide only accounts for…

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CMS proposes 1,495 changes to ICD-10 diagnosis codes

By Alia Paavlov for Becker’s Hospital Review CMS proposed 1,495 changes to the ICD-10-CM diagnostic code set in its proposed Inpatient Prospective Payment System rule released April 18. A large slew of the proposed changes focus on brain illness and injuries — mostly dementia-related diagnoses  — and endometriosis. Specifically, CMS proposed a set of codes that focus…

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