Tag: Coding

Pulse Check: Extending Coding Education Beyond the Coding Department

By: Noelle Wysocki
Date: February 13, 2019
Category: Custom Services
Filed under: Coding, denials, DRG, education, HBI, Non-coders, Pulse Check, RC Education, Revenue cycle, training

The health of an organization’s revenue cycle depends not only on the accurate performance of employees in their respective roles, but also the understanding of how their roles impact others up and downstream, and therefore the quality and speed with which a claim gets processed. One area that has incredible impact on a claim’s processing […]

All You Need to Know About FY 2019 ICD-10 CM and PCS

By: Gaganpreet Sachdev
Date: October 1, 2018
Category: Revenue Cycle
Filed under: Coding, coding changes, coding update, ICD-10, market update

Under an annual ICD-10 code update that takes effect today, coders, providers, payers, auditors, educators, and consultants will be expected to familiarize themselves with 616 ICD-10-PCS and 473 ICD-10-CM changes. CMS and the National Center for Health Statistics periodically update the ICD-10 classification systems. These agencies are constantly working to specify the unspecified codes, update […]

Physician Revenue Cycle Training: The Rising Need

By: Jill Barczak
Date: September 13, 2018
Category: Revenue Cycle
Filed under: Coding, Documentation, physician education, Physician Training, Revenue Cycle Training

In today’s ever-changing healthcare landscape, physicians are no longer just responsible for providing patient care. Every aspect of the revenue cycle is impacted by physicians: they need to communicate with patient access staff to get patients scheduled and make sure ordered services are authorized; their documentation needs to be clear and specific to ensure accurate […]

Reimbursement & Regulations: CDM Updates, Cardiac Device Credits, and Revenue Code 456

By: Andrew Minten JD
Date: April 6, 2018
Category: Custom Services
Filed under: Cardiac Device Credit, Cardiac Devices, CDM, CDM Maintenance, Coding, OIG, OIG Audit, Reimbursement & Regulations, Rev Code 456, Revenue Code 456, Revenue Codes

Though you are hopefully already aware, on April 1, 2018, Medicare updated the Hospital Outpatient Prospective Payment System (OPPS). It is now paying for nonpass-through drugs, biologicals, and therapeutic radiopharmaceuticals that are not acquired through the 340B Program at the average sales price plus 6%. It is important to update your charge description master to […]

Exploring the New CDI Frontier: Three Approaches for Improving Outpatient Documentation and Coding

By: Selby Rodriguez
Date: August 8, 2017
Category: Revenue Cycle
Filed under: Coding, Documentation, Outpatient

Depending on how you found this blog post, you may already be familiar with outpatient clinical documentation improvement (CDI). But for those who are not, it has been top of mind for mid-cycle leaders for several years—with revenue cycle–wide interest soaring around the ICD-10 implementation deadline in 2015.  Despite this timeframe, identifying a mature outpatient […]