Social Determinants of Health (SDOH), integral to preventive medicine and cost reduction, in jeopardy under new CMS administration

By Brian Murphy Health is far more than just biology, pathophysiology, or medical facts about a patient. Non-medical factors influence health outcomes, including the conditions into which people are born and live. Think about housing instability, lack of access to care, poor food security, and (un)employment. Today we call these social determinants of health (SDOH).…

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Norwood Inpatient CDI Boot Camp approved for AHIMA, ACDIS CEUs

Norwood is pleased to announce its new Inpatient CDI Boot Camp has been approved for 18 CEUs by AHIMA* and ACDIS ** (see full details below). This three-day in-person class offers client partners in-depth training on critical CDI concepts that improve the financial and quality health of their organization, including opportunities by Major Diagnostic Category,…

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Functional quadriplegia still a documentation, coding headache for most healthcare organizations

By Brian Murphy Functional quadriplegia (ICD-10-CM code R53.2) was a big deal back in my ACDIS days, for a few reasons: 1). It wasn’t a term physicians typically used/documented, even though it’s a common condition among certain populations. Physicians and other caregivers are more apt to use “bedbound, total care” or other such terms.  2)…

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Mission-Driven Medicine: Dr. Pablo Buitron de la Vega’s SDOH crusade, from capture to care

Listen to the episode here.   Social Determinants of Health, or SDOH, are a buzzword these days—but often little more. We acknowledge their importance, but actual progress on capture (and subsequent patient support) has been slow. To be fair real barriers including technological limitations and limited financial incentives stand in the way. But my current…

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What is the obligation of a Medicare Advantage plan? Shareholder value, or patient health?

By Brian Murphy What is the obligation of Medicare Advantage (MA) plans? Maximizing shareholder value? Or, keeping members healthy? It’s both … but ultimately the latter, I believe. YMMV. Recently I stated that UnitedHealth and other MA organizations bear responsibility in keeping their members healthy. A healthcare executive disagreed: “Is State Farm responsible for keeping…

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