Computer Assisted Coding: An Auditor’s Findings

Published: Tue, 10/18/16

The use of computer-assisted coding (also known as CAC) software is becoming more widespread in the coding industry, particularly in the coding of inpatient claims. It’s not a surprising trend, really, given the many known benefits of implementing a CAC system. Computer-assisted coding software helps streamline the coding workflow, reducing...

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Careful Planning Can Reduce Vaccine Associated Losses

Vaccine administration is an important element of primary care practice, and a critical contribution to preventive care public health. But as vaccine and overhead costs continue to rise—particularly for private practices—physicians can have a difficult time aligning expenses with revenues.

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Transformation with Transplantation

My cousin was 45 years old and suffered a heart attack when closing his pool for the season. He went from admission for his heart attack to heart catheterization to coronary artery bypass graft to placement on the transplant list. Quite a blow for a man who served his country during the Vietnam War and then working at the local factory...

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DRG Downgrading: Fight the Good Fight

A common industry standard among business office operations around the country is the routine calculation of each patient accounts' Expected Reimbursement Amount, or ERA. Expected Reimbursement Amount is automatically calculated and stored by the hospitals' contract management system for each patient visit.

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ICD-10 Specificity Has Providers Bracing for Denials

A year after the much-hyped switch to the ICD-10 diagnostic coding library, healthcare providers now face pressures to assign codes with the right degree of specificity or risk claim denials.

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