The staff of Community Hospital Anderson in Anderson, Indiana, knows a thing or two about prioritization. Not having a separate department dedicated to revenue integrity, their staff balances their revenue cycle roles with their revenue integrity-specific projects.
The new ICD-10-CM codes for FY 2018, effective October 1, represent significant changes in our documentation and coding practices. Please consider some of these changes and determine whether your documentation or billing habits require an update.
The Joint Commission continues to provide excellent resources to help healthcare organizations stay ready for surveys, as well as resources that help them meet and understand the intent of standards and elements of performance.
When it comes to revenue integrity, new challenges arise daily, but SSM Health Cardinal Glennon Children’s Hospital in St. Louis has a revenue integrity department that’s been meeting them head on.
The release of the Quality Payment Program proposed rule introduced virtual groups as a way to reduce burden on small practices and clinicians. While the MACRA legislation laid out the initial concept of virtual groups, this proposed rule revealed many more details about how virtual groups will function.
CMS has spoken repeatedly of easing the burden for providers this spring, and the agency’s Quality Payment Program (QPP) proposed rule released June 20 attempts to do that for small practices and other clinicians.
Prioritization and time management are crucial when it comes to leading a revenue integrity department. Kimberly Yelton, RHIA, CCS, CDIP, AHIMA-approved ICD-10-CM/PCS trainer, and director of revenue integrity at WakeMed Health & Hospitals in Raleigh, North Carolina, told NAHRI about her experience with this when planning and following through with department initiatives.
Tasked with the impossible—reviewing 100% of charges before they go out the door—the revenue integrity department at Yale New Haven Health in New Haven, Connecticut, knows the importance of having a reliable staff to get the job done right.
HHS and the Office of Inspector General (OIG) recently released a resource guide outlining how to measure compliance program effectiveness. After surveying compliance professionals and staff from within HSS, seven key elements of compliance programs were identified.
In ICD-10-CM, defining, diagnosing, and documenting the various forms of altered mental status and their underlying causes remains an ongoing challenge for physicians and their facilities.
