As a former manager of clinical documentation integrity (CDI) and utilization review (UR) at an academic medical center, my focus was on understanding all possible sources of revenue leakage. At that time, the UR staff focused on activities that demonstrated a patient’s medical necessity, as ...
The Centers for Disease Control and Prevention (CDC) published the ICD-10-CM Official Coding and Reporting Guidelines for the 2022 fiscal year (FY) on July 12. There are 115 pages in the new release, a decrease of 11 pages from the FY 2021 version. These guidelines become effective with Oct. 1, ...
EDITOR’S NOTE: This story was originally published on RACmonitor July 15, 2021. By Stanley Nachimson, MS Some major regulations have been announced in the last few weeks. The departments of Health and Human Services (HHS), Labor, and Treasury announced the first set of rules eliminating surprise ...
Featured Webcasts
Thursday, July 15, 2021
CDI for the ED: Tools and Tips from an Emergency Physician
August 17, 18, 19
2022 IPPS Summit: Final Rule Update with Expert Insights and...
ON-DEMAND COMING SOON
2021 ICD-10-CM/PCS Coding Clinic Update: Second Quarter
By Timothy Powell, CPA, CHCP One of the consulting engagements I once turned down was for a group of “mini” hospitals that provided emergency care in rural areas. What drove reimbursement was the fact that they refused to contract with essentially all payors, and they demanded full charges from ...
