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Clinical documentation improvement (CDI) — particularly in outpatient settings — continues to be a top priority for US healthcare organizations as they prepare for their transition to value-based reimbursement models. Right now, there’s a tremendous amount of pressure on hospital groups to recruit top CDI talent and implement robust programs that improve patient data accuracy… Read More »UASI Experts to Present “Creating and Retaining the Best CDI Team” at AHIMA 2018
The American Health Information Management Association’s (AHIMA) 2018 gathering is coming soon and among the hot topics to be discussed this year are diagnostic related group (DRG) mismatches and the negative revenue pressures resulting from them. Mary Stanfill, UASI’s VP of HIM consulting, and our HIM consulting manager, Kathy DeVault, have developed an engaging, interactive… Read More »UASI Experts to Present “Compliance Risks Associated with DRG Mismatches” at AHIMA 2018
The coding and HIM event of the year is here again. AHIMA 2018 is scheduled for September 22-26 in Miami, with a broad agenda covering many of the hottest topics, including those faced by our clients every day. Among the trends we’ll be talking about, which are very much in line with the event’s theme… Read More »UASI at AHIMA 2018: Our Experts to Present CDI, DRG Mismatches and Team-Building
UASI in JAHIMA: “Documentation and Coding Practices for Risk Adjustment and Hierarchical Condition Categories”
UASI’s health information management (HIM) experts continue to set the pace in this fast-evolving field. Our vice president of HIM consulting services, Mary Stanfill, MBI, RHIA, CCS, CCS-P, FAHIMA, co-authored a paper — published in the June 2018 issue of the peer-reviewed Journal of the American Health Information Management Association (JAHIMA) — that explored the… Read More »UASI in JAHIMA: “Documentation and Coding Practices for Risk Adjustment and Hierarchical Condition Categories”
For many years, coding audits have been commonly-employed to make their revenue cycles more efficient. Now, they’re becoming mission-critical. In a new, peer-reviewed article out this month in the Journal of the American Health Information Management Association (JAHIMA), UASI’s manager of HIM consulting Kathy DeVault and corporate educator Natalie Sartori showed how coding audits are… Read More »UASI in JAHIMA: “Auditing Across the Continuum”
In its 2018 report released earlier this year, KLAS Research cited UASI’s stable of expert coders, our extensive education program and strong management as factors which set us apart from our industry peers. UASI also scored above average in every one of KLAS’s 5 key metrics in the sector: coding quality, coding productivity, quality assurance process, management of coders, and scaling flexibility.
MACRA is a Quality Payment Program (QPP) which replaces the current Sustainable Growth Rate (SGR) methodology and will streamline multiple current programs and reporting. This new framework will offer providers the opportunity to focus on quality health care rather than simply more care.
HIM professionals know that coding accuracy must be monitored and corrected when found to be below standard. At the same time, the speed at which records are coded must be efficient as healthcare organizations are faced with declining reimbursement and increased data collection.
It is the responsibility of the coder to assign codes based on documentation in the chart and as guided by the code-set and the official coding guidelines. But what happens when documentation in the chart is not clear cut?