I did NOT enjoy the disco years, but as I was thinking about this blog, a song lyric popped into my head: “How deep is your love…I really need to […]

As the last day of summer fades, fall is on the horizon with Halloween displays and pumpkin spice lattes. For those of us in hospital middle revenue cycle—whether CDI, CDM […]

There has been an outcry about the proposed E/M changes CMS recently brought to the industry for comment. Let’s take a close look at what CMS proposes: Lifting restrictions on […]

June and July saw a flurry developments highlighting the challenges with the five star nursing home compare ranking system. In June, the Veterans Administration released their star rankings for VA […]

By now, you’ve undoubtedly seen the CMS proposal to overhaul the E/M documentation and coding guidelines for new and established office visits, along with consolidated payments. There are articles and […]

Ready or not, Accountable Care Organizations (ACOs) will be expected to assume downside risk after two years according to a proposal announced by the Centers for Medicare and Medicaid (CMS) […]

I don’t know about you, but my head is spinning. On July 12, 2018, Administrator Verma released an email with some pretty stunning news. I’m going to focus on the […]

Roughly 40 percent of healthcare financial leaders say their organizations lack in-house expertise and staffing for extremely important activities, such as managing new regulations and payment models. The gaps put […]

In my last blog, I commented on being overcharged by my PBM for a medication that had been removed from their formulary – allegedly because the FDA pulled some old […]

There is a lot of confusion among coders and CDI specialists about the status of PSI-90. I hope to clear up a little of the confusion in this blog post, […]

Within the CMS proposed rule for FY2019 published at the end of April, there is a proposal to consolidate and improve the value-based purchasing (VBP) payment adjustment model. On the […]

The healthcare industry (like every other) has often used catch words and phrases: Patient empowerment, population health, electronic interoperability, pay-for-performance, quality metrics, social factors that affect outcomes, medication compliance, care […]