Is Greater UR-CDI Integration on the Horizon?

Published: Mon, 09/11/23

Link to all things medical coding & billing

Is Greater UR-CDI Integration on the Horizon?

There has been growing interest in the intersection of utilization review (UR) and clinical documentation integrity (CDI). With greater recent changes, such as more UR and CDI staff going remote and case management being left in the hospital, I can’t tell you how often Dr. Erica Remer and I are asked to speak...

Learn the rules of coding with time

The AMA (they own the CPT code set) in January of 2021 changed the criteria for determining the proper code level of evaluation and management (E/M) services. Currently, you would use either medical decision–making or time to establish the correct E/M code level. Now before someone in the back gets...

CMS Sends Up Warning Flare on Discharge Planning

Back in June, the Centers for Medicare & Medicaid Services (CMS) released a memo titled “Requirements for Hospital Discharges to Post-Acute Care Providers,” which was sent to survey agencies that received no notice at all. Fortunately, I came across it and can now share it with everyone. But...

Adapting to Evolving ICD-10-CM Guidelines in the Era of Artificial Intelligence

In the ever-evolving world of healthcare coding, professionals must stay abreast of the latest updates to ICD-10-CM. This dynamic coding system is vital for recording diagnoses, conditions, and other health-related information. With the rise of artificial intelligence (AI) technologies in healthcare, the...

Clinical validation and the role of artificial intelligence

AHIMA regularly publishes practice briefs related to best practices within the health information arena. These briefs serve as references within the industry to guide organizations when creating policies and procedures for compliant health information management practices. The most recent practice...

Inside the proposed 2024 Medicare physician pay schedule

The AMA’s experts have analyzed the 2,000-page 2024 Medicare physician payment schedule proposed by the Centers for Medicare & Medicaid Services (CMS) and are sharing their summary of key provisions (PDF) ahead of the submission of formal comments that will be filed with the agency.

P.O. Box 3824
Youngstown OH 44513
USA

Unsubscribe | Change Subscriber Options