Stopping Healthcare Fraud Before It Can Start |
In response to a reporter’s question, notorious bank robber Willie Sutton was quoted as saying thieves rob banks “because that’s where the money is”. Today, the money is in a wide variety of areas beyond banks, including the enormous – and growing – healthcare business. As a result, the amount of theft in the healthcare industry is enough to
give any honest person a headache. The FBI estimates that healthcare fraud is an $80 billion annual challenge....
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90% Report Clinical Documentation Improvement Boosted Revenue
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Most hospitals gained at least $1.5 million in healthcare revenue after clinical documentation improvement implementation, a Black Book survey found. Nearly 90 percent of hospitals with 150 or more beds and outsourced clinical documentation functions realized at least $1.5 million in appropriate healthcare revenue and claims
reimbursement following...
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Experts Say ICD-10 Codes Don't Go Far Enough
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When CMS switched from ICD-9 to ICD-10 last year, the new diagnosis classification list allowed coders to translate additional elements of doctors’ language to billers’ language. In a sense, ICD-10 added “adjectives” to coders’ vocabularies: oncology coders now have the ability to describe additional aspects of a tumor, such as whether it resides
in the upper left or lower right quadrant of a patient’s lung. Some coders would like to see that vocabulary expand further ...
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Meet The New ICD-10 Codes And Prepare For Increased Audits
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The ICD-10 codes changed for 2017 and include 1,974,311 deleted codes, and 425 revised codes. These went into effect October 1, 2016. Most chiropractors, fortunately, are only affected by about 70 of these changes—none of which are groundbreaking. But you should be aware of these changes because using deleted codes will result in denied
claims...
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Information Governance, Informatics Are Top Priorities For AHIMA |
As the healthcare industry transitions from fee-for-service to value-based care, health information professionals are on the frontlines of these momentous changes helping clinicians leverage technology to achieve better patient outcomes while reducing costs. The American Health Information Management Association’s mission is
to...
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