Healthcare reimbursement is changing; both CMS and private payers are working toward payment methodologies that reflect quality of care versus quantity of care. In most cases, quality is measured based on patient outcomes. The concept of risk adjustment is now being applied to healthcare...Read More »
by Anny Pang Yuen, RHIA, CCS, CCDS, CDIP
As healthcare providers increasingly accept financial risk associated with patient management due to the transition from fee-for-service to riskbased/ value-based reimbursement, the traditional model of healthcare reimbursement has been...Read More »
by Rose T. Dunn, MBA, RHIA, CPA, FACHE, FHFMA, CHPS
The coding function would not exist if there were no physician documentation from which to code. The challenge for coders is not so much that there is no physician documentation; it’s that the documentation they have does not...Read More »
A CFO will typically see the potential of program expansion quickly. The CDI program manager or administrator simply needs to demonstrate the current effectiveness of the program’s efforts compared to the potential benefits of an expanded program—a cost-benefit...Read More »
The importance of CDI involvement in denial management cannot be stressed enough. Join associate attorney, and returning ACDIS speaker, Sarah Mendiola, Esq., LPN, CPC tomorrow afternoon for her session, “Completing the Circle: The Importance of CDI Specialist Participation in...Read More »
