In the transition to value-based care and pay-for-performance reimbursements, more providers are shifting care to outpatient settings. However, few HIM departments are prepared to optimize outpatient documentation and coding , which hinders the financial returns from this rapidly growing segment...
Commercial and government payers track chronic conditions using Hierarchical Condition Category (HCC), and providers can track HCCs to better...Read More »
Q: I was on a conference call with the CDM coordinators within my health system and we got involved in a lively discussion. If there's no medical...Read More »
CMS’ fiscal year (FY) 2020 Inpatient Prospective Payment System (IPPS) proposed rule, released April 23, includes a proposed increase to hospital...Read More »
CMS published the FY 2020 Inpatient Prospective Payment System (IPPS) proposed rule on April 23, introducing policies designed to significantly...Read More »
Representatives from CMS and the Office of Inspector General (OIG) discussed hot topics and focus areas at HCCA's 2019 Compliance Institute in...Read More »
CMS finalized changes to NCCI Medically Unlikely Edits (MUE) and procedure-to-procedure (PTP) edits in its quarterly update to NCCI edit files,...Read More »
