The final rule for FY 2019 for Inpatient Rehabilitation Facility (IRF) payment included provisions to remove the Functional Independence Measure (FIM^tm) from the IRF-PAI (Patient Assessment Instrument) and incorporate certain data elements from the Quality Indicators section of the IRF-PAI...

UnitedHealthcare and the American Medical Association have joined forces to enable healthcare organizations and payers to use ICD-10 codes for social determinants of health. The two organizations say they are working together to standardize how...

If you are wondering why you should read this if you think you are not a rebeginner, well, it is because you actually are one. Beginnings do not disappear, they just reproduce. Novices are just starting, veterans have started over and over. We all begin as beginners and then we begin rebeginning.

For most health information management (HIM) professionals, many aspects of risk-adjusted coding might give rise to the phenomenon, at least as it pertains to diagnosis-related groups (DRGs)! The pandemonium regarding documentation coding payment changes brought about by...

By combining traditional medical data with self-reported SDOH data, the codes trigger referrals to social and government services to address people's unique needs.

Medical coding is a key component of revenue cycle management. When done efficiently and accurately, it helps ensure hospitals are properly reimbursed for the services they provide. Here are 15 things to know about medical coding: