By: Roberta Peters, MS, RHIA Vice President, Solutions Executive, eValuator™ Streamline Health Just when you start to feel moderately confident in your organization’s approach to achieving revenue integrity, changes come along that complicate your strategy. Regulatory and compliance changes add uncertainty to previously established processes, requiring organizations to scramble for a solution, either via training, [...]
By: Julius Blum Vice President, Solutions Streamline Health Healthcare providers are looking to improve documentation and coding for outpatient encounters as these services increase. For organizations supporting large Medicare populations, much of this increased focus has been on Hierarchical Condition Categories, or HCCs. These are central to CMS’s risk adjustment model for use in predicting [...]
By Nancy Hirschl, BS, CCS, AHIMA-Approved ICD-10 Trainer Vice President, HIM Services, Streamline Health, Inc. For healthcare providers, limiting regulatory and financial risk associated with coding and billing is a core component of organizational compliance. Risks to the mid-revenue cycle can appear in the forms of undercoding, where appropriate revenue is not captured and money [...]
I recently ran across an announcement that I found to be quite interesting. On November 3, 2015, the Department of Health and Human Services (HHS) released proposed requirements for discharge planning for hospitals participating in Medicare and Medicaid. And, the requirements would implement changes from the Improving Medicare Post-Acute Care Transformation Act of 2014. Public comment is open until January 4, 2016. We can expect new rules to go in effect sometime in late 2016 or early 2017.
Patient recordkeeping has come a long way in the last decade, moving from paper-based systems to sophisticated EHRs that encourage information exchange and provide us with a wealth of data. Now it’s time to kick things into a higher gear to meet Stage 2 Meaningful Use requirements and improve patient care.