Understanding Risk-Adjusted Payment Methodology
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When working with a member of the sales force for a previous employer, I was asked, “What is the biggest problem coders encounter?” My answer, very simply put, was “physician documentation!” I should have added “or lack thereof!” Click Here to Read More
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New CMS Nursing Home Model Raises Pay Accuracy Concerns
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Nursing homes are questioning if a proposed CMS pay model could pay them less for services provided to Medicare patients. On Friday, the CMS proposed the Patient-Driven Payment Model which would replace the resource utilization groups model they are paid under now... Click Here to Read More
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2019 IPPS Proposed Rule for IRFs Removes Requirement to Collect FIM and Quality Indicator Functional Data
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Our early review of the document and accompanying fact sheets has identified a number of provisions of interest to inpatient rehabilitation facility (IRF) providers. One of the key provisions, the removal of the Functional Independence Measure (FIMTM) Instrument and associated Functional Modifiers from the inpatient...
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Confessions of a Formerly Burned Out Coder
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On any given day, if you walked into my home office, you might think you were in a spa. The walls are painted a soothing aqua color (at least, I think it’s soothing), a scent diffuser releases a pleasant tea tree oil scent (good for the voice on those days when I present webinars), and Asian meditation music plays softly on an endless loop. At second glance, you would
see...
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Everything You Need To Know About The New ICD-10 Codes
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CMS is expected to publish new ICD-10 codes in late April or early May, according to Laurie Johnson, an American Health Information Management Association-approved ICD-10-CM/PCS trainer. Here are key deadlines to note, as published on ICD10
Monitor.
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