At my yearly physical exam, my doctor and I talked about work, skiing next season and of course COVID-19. The chit chat always helps me get ready with my medical […]

In my last blog, HCCs: An awareness perspective, I introduced you to Mike, a 66-year old white male with type II diabetes mellitus (DM) and congestive heart failure (CHF). I […]

For all the wonderful advancement in health care diagnostics and therapeutics, the U.S. health care system has yet to solve for high costs of care while also improving outcomes. These […]

It happens every year around Memorial Day: The ICD-10 procedure code updates are posted on the  Centers for Medicare & Medicaid (CMS) website just as people are thinking summer thoughts. […]

Over the last 20 years, radiologists have been paid progressively less for reviewing the same imaging exam, while at the same time increasing reporting requirements. Radiology payment and documentation processes […]

The shift of the U.S. health care system from fee for service (FFS) to value-based care and payment now seems inevitable. To date, the transition has been relatively slow, as […]

The March ICD-10 Coordination and Maintenance Committee (C&M) meeting, held via Zoom March 8 and 9, had 60 topics on the combined agenda—29 topics for proposed changes to the procedure […]

As a clinical documentation integrity (CDI) and coding professional, I’ve often heard the statement: If it’s not documented, it wasn’t done. I have used this statement educating physicians and nurses […]

As I hopped on an Amtrak train to go to a meeting (something I haven’t done in a long time!), I pulled out my laptop to start reading emails – […]

I sat down with 3M Health Information Systems Global Chief Medical Officer Sandeep Wadhwa, MD, MBA, to discuss clinical and financial risk management, and risk stratification with Medicare Advantage plans. […]

In December I posted a blog on the “new and improved normal,” discussing the April 1 ICD-10-CM/PCS update added to the schedule beginning in 2022. Two updates a year instead […]

Last year, the Centers for Medicare & Medicaid Services (CMS) and the National Center for Health Statistics (NCHS) jointly finalized a proposal to make the April 1 update of ICD-10-CM/PCS […]