Providers nationwide have been scratching their heads for some time now over how to combat the increasingly problematic issue of clinical downgrading of diagnosis-related groups (DRGs) by auditors.Mount Sinai Health System in New York City might not have the solution – but it sure does have a game plan.The System’s…

Providers nationwide have been scratching their heads for some time now over how to combat the increasingly problematic issue of clinical downgrading of diagnosis-related groups (DRGs) by auditors.Mount Sinai Health System in New York City might not have the solution – but it sure does have a game plan.The System’s…

Last fall’s implementation of ICD-10 throughout the nation’s healthcare industry did not produce the dire financial impacts many had feared, according to new data recently unveiled by Crowe Horwath LLP.“The conversion … was expected to have far-reaching effects. Anticipated impacts included delays in billing and coding, the potential for increased…

June 13–19, Men’s National Health Week, is set aside to shine a light on the topic of men’s health. While there is obviously an overlap between conditions that impact men and women, there are a number of conditions that are specific to men and specific to women.To try to understand…

EDITOR’S NOTE: Authors Wilson and Greene serve as the co-chairs of the Workgroup for Electronic Data Interchange (WEDI) Property & Casualty Subworkgroup. Even Captain Obvious knows that you need to “book reservations” early for external ICD-10 testing. A successful organizational transition to ICD-10 by the compliance date of Oct. 1,…