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Search Results: documentation
How the Clover Effect is changing how we approach Star Ratings and quality measurement. The Medicare Advantage (MA) Star Ratings program has long served as both a quality benchmark and a financial engine for health plans. That foundation was shaken in...
When coders and providers work together, everyone wins. Risk adjustment coding is only as strong as the documentation it’s built on. Yet, in many organizations, coders and providers operate in silos. Providers are focused on delivering high-quality pa...
A hidden compliance risk in clinical notes. As healthcare organizations increasingly rely on electronic health records (EHRs) to streamline workflows and improve efficiency, a new set of challenges has emerged, documentation integrity chief among them...
And how to fix them with clinical documentation improvement. How many times have you come across documentation in a patient’s medical record where a phrase like “history of,” “likely,” or “consistent with” was used? If you’re a medical coder, chances ...
CMS reiterates documentation requirements, provides improper payment reports, and supports simplification. The Centers for Medicare & Medicaid Services (CMS) has stressed the importance of compliance with documentation requirements for over a deca...