In Coding
Jun 10th, 2019
Proper documentation and coding are about more than just financial benefits. There has been a lot of talk about the financial benefit in addressing hierarchical condition categories (HCCs) on an annual basis. I think it’s time we bring the conversation back to the epicenter. After all, proper HCC documentation and reimbursement does directly impact our ...
In Coding
Apr 1st, 2019
Documentation is key to correct ICD-10-CM coding, better patient care, and proper reimbursement. Physician documentation is one of the most important keys when abstracting for hierarchical condition category (HCC) coding. In a value-based payment system, documentation — more specifically, coding extracted from that documentation — determines whether a physician is properly compensated for managing ...
A 7 percent payment update in your professional claims is at stake. That’s a nice bonus on top of the automatic 0.5 percent update to the Physician Fee Schedule (PFS). This is the last year for the automatic update, however. The only shot clinicians have at a PFS payment update in 2020 and beyond is ...
In CMS
Dec 28th, 2018
Will the latest regulations governing accountable care organizations (ACO) deliver favorable results for all? The Pathways to Success final rule, released by the Centers for Medicare & Medicaid Services (CMS) on Dec. 21, 2018, offers several new participation options and flexibility to healthcare organizations in the Medicare Shared Savings Program (MSSP). Participation options are meant ...
In understanding each other’s role in healthcare reimbursement, coders and CDI specialists make a dynamic duo. In healthcare, we can no longer work in silos, separate from each other, doing our own thing, unaware of what other staffers are doing. We must work collaboratively, as a team that extends past our own departments. Value-based healthcare ...