Prospective review or retrospective audit: Which is more effective? Coding accuracy reviews and audits are designed to ensure health care organizations provide the most accurate and compliant representation of the […]

According to the American College of Healthcare Executives, for more than 15 years (2004-2020), the number one issue confronting hospitals was financial challenges. In 2021, financial challenges dipped to the […]

For many coders trying to get into the health information management (HIM) industry, landing that first position can be difficult. Here are some tips to help you achieve your goal […]

On Jan. 18, the long-awaited Trusted Exchange Framework and Common Agreement (TEFCA), mandated by the 21st Century Cures Act in 2016, was released by the Office of the National Coordinator […]

The intent for an individual’s right of access to their protected health information (PHI) is to allow the easing of some administrative requirements, the removal of certain provisions of the […]

It’s difficult these days to do anything in health care without hearing about securing protected health information (PHI) or reading about a security breach. During a recent office visit, I […]

Reducing denials is a top priority for every health care organization and revenue cycle department. The ultimate goal is to somehow create a process that eliminates the need to review […]

Given the need for new laboratory and clinical terminology codes, driven by the COVID-19 pandemic, the International Spring LOINC conference of 2021 grew by one more day to address a […]

I had to smile when I saw the article in the March 3, 2021 RAC Monitor titled “Expect More Medical Record Audits Under Biden.” Compliance activities took a bit of […]

Hopefully, everyone is using the new E/M codes without issue. CMS added two HCPCS codes to represent “additional” time for E/M services. These are important qualifiers, as medical necessity audits […]

New year, new month, new changes to documentation and coding for outpatient office visit codes 99202-99205 and 99211-99215. If it feels like you have been inundated with information and updates […]

What can be said about 2020 except what a year! So much has happened in just twelve months. While none of us will desire to return to this time, we […]