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Risk adjustment

Navigate the Risk Adjustment Fog

By Sheri Poe Bernard
In CMS
Mar 1st, 2022
Comments Off on Navigate the Risk Adjustment Fog
Five tips help physician practices chart a course for compliant coding. Medical coders love rules. For many of us, ambiguity is the enemy. But in risk adjustment, there are hundreds of areas for which there are no maps to the rocky shoals of complianc...
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Gavel on table with red heart.

When To Report an Incidental Finding

By Sheri Poe Bernard
In Compliance
Jan 1st, 2022
2 Comments
DOJ lawsuits may be your road map to risk adjustment compliance. The growing prevalence of risk adjustment in healthcare has forged new processes in documentation practices that have resulted in many organizations adopting practices that bend the cast...
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Let’s Get on the Same Page when Coding BMI and Obesity

By Sheri Poe Bernard
In Coding
Feb 27th, 2019
Comments Off on Let’s Get on the Same Page when Coding BMI and Obesity
Different interpretations of ICD-10-CM coding leave you at risk for improper quality scores and payment. Medical record auditors see a wide range of interpretation among coders and medical organizations regarding when and how overweight, obesity, and ...
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clinical staff

Improve Quality Reporting with Coding Clinic Guidance

By Sheri Poe Bernard
In Coding
Aug 9th, 2018
Comments Off on Improve Quality Reporting with Coding Clinic Guidance
Follow both ICD-10 Official Guidelines and AHA Coding Clinic guidance to meet MACRA performance requirements. Diagnostic coding accuracy is a lot more important than it used to be. Under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)...
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Three Tidbits for Better MRSA Dx Reporting

By Sheri Poe Bernard
In Healthcare Business Monthly
Jan 12th, 2017
Comments Off on Three Tidbits for Better MRSA Dx Reporting
Prevent the spread of misguided MRSA claims with these tips for precise ICD-10-CM coding. Although the precision of code descriptions makes it harder to miscode an infection in ICD-10-CM, there are three tricks to coding Methicillin-resistant Staphylo...
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