by Deanne Wilk, BSN, RN, CCDS, CDIP, CCDS-O, CCS
Patient safety and quality of care are forerunning concerns for organizations today. Not only do we want to ensure our patients are receiving high-quality care, we want to ensure care is safe and effective. We need to examine how...Read More »
Some of the largest hospitals in the country have approached the price transparency rule by providing some pricing information online, but not providing the healthcare common procedure coding system (HCPCS) codes for the services, according to a review of 20 hospital websites by...Read More »
by Howard Rodenberg, MD, MPH, CCDS
I have a great affection for the 2000-Year-Old Man. A creation of classic comedians Mel Brooks and Carl Reiner, this mythical sage from another time dispenses wisdom on all things historical. From him, I’ve learned that most language developed...Read More »
Implementation of two historic rules set to implement interoperability and patient access provisions of the Cures Act, have been postponed until April 5, 2021. In March, the...Read More »
By Angelica Naylor, MBA, BSN, RN, CCDS
The year 2020: the year that changed all our lives in some form or another. The year 2020: also the year that confirmed racial and ethnic health disparities and inequalities are persistent and worsening for many in our society. Anyone...Read More »
by Ashley Vahey, BSN, RN, CCDS, and Deanne Wilk, BSN, RN, CCDS, CDIP, CCDS-O, CCS
The CMS hierarchical condition category (CMS-HCC) methodology recognizes specific combinations of diseases as well as the effect of disease processes as related to different settings of care. For...Read More »
CMS has released the final rule for the Department of Health and Human Services’ risk adjustment data validation (HHS-RADV) program. The rule...Read More »
A Medicare Advantage (MA) plans are likely to see a reduction in risk scores and payments due to the COVID-19 pandemic, a recent analysis conducted by Avalere found. MA risk scores are calculated...Read More »