By Lisa Ball – Medical coders are the unsung heroes of the healthcare industry. They are the link between the physicians and the payer that ultimately determine what the patient pays and what their treatment is. To those outside the industry, it may not seem like…
By Sharon Nichols – Everyone remembers the anxiety surrounding the finalized transition to ICD-10 in 2015, and while ICD-10 Monitor notes that the volume of changes is slowing, the 2019 Spine Surgery coding changes are significant.
By Beth Friedman – AHIMA held its 90th annual convention and exhibit last week in Miami, Florida. Amid humidity, convention center construction and political banter, attendees found common ground on two important revenue cycle issues: operational performance and payer denials.
By Robert F. Bacon – The provider community has been begging for documentation reform for over 20 years, and there is no question that simplifying the complex requirements of clinical documentation is necessary.
By Vasilios Nassiopoulos – With all the hoopla surrounding the recent announcement that CMS is proposing changes to Evaluation & Management (E/M) codes, you would think the government was eliminating documentation requirements altogether.
By Betty Schulte – All HIM leaders know that coding quality audits are critical. We can all agree the consequences of substandard coding – lost revenue, increased denials, and greater compliance risk – make the development of a comprehensive coding audit program a priority for healthcare providers of all sizes.
By Betty Schulte – The importance of accuracy and compliance in today’s coding environment cannot be overstated. High-quality coding is always a priority – but is there a way to make coding impervious to challenges? Unfortunately, the answer is “NO.”
By Andrea Romero – “Outsourced coders are too expensive”, “My internal coding resources are much less expensive than external coders” are statements I hear frequently from HIM leaders.
By Lisa Eramo – These days, all medical specialties are vulnerable to payer audits and denials. However, providers who offer mental health services are particularly at risk because insurers have begun to focus not only on coding accuracy but also on the frequency and duration of services rendered.
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