Category: Blog

Chronic Condition

Chronic Conditions: Code or Not to Code MCCs

  Understanding the correct use of chronic condition codes in the coding process. Unexpected and inaccurate medical bills can be alarming and shocking. Coders are often confused regarding when they should code co-morbid chronic conditions and when they should not. This leads to inaccurate coding of levels, or sometimes missing out on the opportunity of […]
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Why Hospitals Without Robust Revenue Cycle Support are Losing Millions

Why Hospitals Without Robust Revenue Cycle Support are Losing Millions?

A frequent knock on electronic health records (EHRs) has been that they’re just glorified billing systems that fail to provide enough clinical functionality to make a significant difference in the quality of care. So it’s somewhat incongruous that a recent Black Book report on revenue cycle management (RCM) system adoption would say that 26 percent of hospitals don’t have an effective […]
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Are Chargemasters Making Medical Billing

Are Chargemasters Making Medical Billing More Transparent?

When it comes to a trip to the hospital we all know costs can add up quickly, but do you really know exactly what you’re paying for? Well, since January 1, a federal regulation has required hospitals to post machine-readable documents detailing everything they charge for called chargemasters. Though a debate has been raised into […]
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AHIMA Coding Productivity Study and Preparing for ICD-11

AHIMA Coding Productivity Study and Preparing for ICD-11

Planning is underway now for ICD-11. The American Health Information Management Association (AHIMA) has been getting involved in the development of ICD-11 through its participation in the World Health Organization’s (WHO’s) activities, as well as providing members with high-level overviews of what to expect with the new classification system. ICD-11 has yet to be approved […]
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Mid-Year CPT Code Updates

Prepare Now for These Mid-Year CPT Code Updates

In addition to the annual release of CPT® code changes, the American Medical Association (AMA) likes to keep medical coders on their toes by releasing mid-year changes. The following Vaccine codes and Category III codes were accepted and/or revised at the September 2018 CPT Editorial Panel meeting for the 2020 CPT® production cycle. These codes are effective July […]
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Gamification Potential in The Revenue Cycle

Gamification’s Potential in The Revenue Cycle

According to U.S. Census Bureau data, over one third of working Americans are millennials, making them the largest generation in the American workforce. Healthcare organizations have thus turned to efforts to attract and retain millennials, who research indicates may harbor a deeper desire for real-time feedback; a sense of purpose, challenge, and enjoyment in their […]
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Trends That Will Dominate Healthcare

Trends That Will Dominate Healthcare in 2019

Technology perimeters every dimension of healthcare. It offers extraordinary benefits to patients and medical practitioners. The wise use of technology in healthcare can promise patient satisfaction and cost savings, which contributes to the future of any healthcare organization. Below are the latest technological innovations that have a huge impact on the medical process and enhancing […]
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