Today, I want to shine a light on something that is often overlooked but is absolutely critical to the financial health of our healthcare system: the full revenue cycle team and its role in coding. Coding doesn’t happen in isolation. It’s not just about assigning numbers to diagnoses and procedures.
There are few perfect things in this world, and hospital operations are not one of them. While multitudes of individuals – clinical and non-clinical –
I recently came across a denial indicating that a query was noncompliant because it did not include evidence why the query was needed. I was
Last August, the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) reported its findings on a review of certain MS-DRGs
On March 12, The Centers for Medicare & Medicaid Services (CMS) Innovation Center announced significant changes to its model portfolio to better align with its
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