The Opioid Payment Crisis

Published: Tue, 03/07/17

Addiction services may be a societal necessity – especially as the Central Massachusetts opioid crisis proves particularly fatal – but it is a business, and in this area of medicine, the playing field is not necessarily equal for patients or providers...

Click Here to Read More

Risk Adjustment: Excitement and Anxiety

The excitement and anxiety about risk adjustment in the healthcare industry is growing on a daily basis, and we are hearing tremendous hopes to learn and gain new expertise about the shift from fee-for-service (or volume-based) to fee-for-value (or value-based) reimbursement. Everyone in today’s healthcare organizations is feeling an increased urgency...

Click Here to Read More

Importance of DRG Reconciliation in the CDI and Coding Processes

The Centers for Medicare & Medicaid Services (CMS) performs diagnosis-related group (DRG) validation to ensure that reported diagnostic, procedural, and discharge status information matches both the attending’s description and the information contained within the beneficiary’s health record. CMS auditors are instructed to...

Click Here to Read More

MIPS Reporting: MACRA Final Rule Lists Available Quality Measures for MIPS reporting

MIPS Eligible Clinicians can opt to report as individuals or as a group. A group is defined by the Tax Identification Number (TIN). If you choose this option, the group will be assessed as a group practice across all four MIPS performance categories. Eligible clinicians can take their reporting scores with them if they should leave the group during the reporting period.

Click Here to Read More

Registered Health Information Technician

Registered Health Information Administrator

Certified Risk Adjustment Coder Exam Bundle