In Audit
Jun 15th, 2018
Consider a career as a healthcare business professional. The hoopla of graduating high school is over, and now everyone is asking you, “What are you going to do next?” You might give the obligatory response, “Go to college,” because that’s what everyone expects. But is that the right answer? Learn a Trade that Pays Unless ...
Jun 13th, 2018
A medical coder transforms healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes. Those codes are taken from medical record documentation, such as physician’s notes, laboratory and radiologic results, etc., to be paid by insurance carriers and government payers. Medical coders check the medical chart to ensure the codes are correct and ...
Providers educated on new measures ensure accurate and updated patient health status. Written by: Meera Mohanakrishnan, MS, CPC, COC, CPC-P, CRC, CPC-I, CCS More than 90 percent of health plans use Healthcare Effectiveness Data and Information Set (HEDIS) to measure healthcare and service performance from overuse and appropriateness to chronic condition management. For 2018, the ...
Prepare to comply with the CMS Emergency Preparedness rule now. According to the National Oceanic and Atmospheric Administration, 2015 marked the eighth consecutive year that disaster from extreme weather cost the U.S. economy more than $10 billion. Last year, this trend continued with the massive snowstorms in the Northeast, flooding in Baton Rouge, and earthquakes, ...
Providers who hire Certified Risk Adjustment Coders (CRCs™) have nothing to fear. The risk adjustment methodology is a relatively new payment model that is prospective in nature — meaning that healthcare costs in future years are based on what is known to be true of healthcare costs in recent years. Providers that hire CRCs™ have ...