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Continued discussion surrounding the RA/HCC V28 changes. This week we’re going to re-visit a few of the RAF/HCC perceptions to alleviate possible confusion. Recently, I had a few conversations about RAF/HCCs that leads me to believe there is some misunderstanding about the overall concept of this prospective payment system. There are two models for HCC… Read More »HCC Blog – Part 4
Read MoreHere is our cheat sheet for changes you can expect to CPT in 2024. Overview: Here is a quick summary of some of the more significant changes. Evaluation & Management Surgery: Musculoskeletal Surgery: Respiratory System Surgery: Cardiovascular System Surgery: Urinary System Surgery: Female Genital System Surgery: Nervous System Surgery: Eye & Ocular Adnexa Radiology Pathology… Read More »CPT 2024 Changes – Here we come!
Read MoreAccurate, defensible, compliant coding is essential to the revenue cycle of all healthcare organizations, particularly Critical Access Hospitals which can be located in rural regions of the U.S. Many rural hospitals struggle with how to meet coding needs in a way that’s assessable for their business. Outsourced coding can be a great solution for these… Read More »5 Reasons Why Rural Hospitals Should Consider a New Coding Approach
Read MoreTopic: Managing Winter Blues & Holiday Stress The holiday season can be a time of great joy, and for many, great stress. The presence of gloomier weather, time change due to the end of daylight savings, and overall increase in demands and obligations further contribute to feelings of stress, depression, and seasonal affective disorder. Winter/Seasonal… Read More »Holiday 2023 CDI Scenario Discussion
Read MoreIn this week’s RA/HCC discussion, we are looking at a few of the HCC modification changes. As previously discussed, the HCC changes are extensive and the information provided below are just a few examples of these V28 changes. Neoplasm Disease Group Liver Disease Group Blood Disease Group Cognitive Disease Group Substance Use Disorder Disease Group… Read More »Bi-Weekly RA/HCC V28 Changes Discussion
Read MoreTo round up our other ICD-10 update guides, the team has pulled together a guide for the DRG updates for 2024. In this guide you’ll find:
Read MoreTopic: Adverse Reactions to Drugs & Toxins/Poisoning/Underdosing/Toxic Effects Common definitions for this discussion: Provider documentation needs to be clear whether a drug was taken as directed or improperly administered to determine an adverse effect vs. poisoning. For example, a patient with a GI bleed due to Coumadin therapy would need clarification if the Coumadin was… Read More »Monthly CDI Scenario Discussion – November 2023
Read MoreComparing Codes Across ICD Versions: Heart Failure In this month’s ICD-11 deep dive, UASI’s Mary Stanfill continues to examine the differences between ICD-10 and ICD-11 to get a feel for how these changes will impact day-to-day coding. The WHO ICD-11 classification is very different from the 10th version that the United States modified to create… Read More »ICD-11 Monthly – October 2023
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