Posts by Norwood Staffing
Medicare Advantage feels like the Wild West — don’t wander off the trail. Download our special report
In May CMS dropped one of the biggest announcements since the advent of ICD-10: An exponential increase of Medicare Advantage (MA) risk adjustment audits. The agency planned to hire 2,000 coders, ramp up its tools with AI and tech, and launch a full-on audit storm. We were all braced for extrapolated, multi-million-dollar recoupments of every…
Read MoreAre you accurately charging for trauma team activation? The OIG is watching
Revenue category code 068.X and HCPCS code G0390 allow trauma centers to cover the high costs of keeping a trauma team on standby—surgeons, ER physicians, anesthesiologists, nurses, etc.—and the incredibly complex, specialized care needed in some of the worst emergencies you’d ever want to imagine. But with high reimbursement comes OIG scrutiny. The recent OIG…
Read MoreCorrected Medicare Shared Savings Program results are out; where does your organization fall? And are they real?
By Jason Jobes, SVP Solutions, Norwood Breaking CMS news to report… the revised MSSP results are out. The impact? $40.4M in additional shared savings. 77% of organizations saw an INCREASE in their shared savings. My lingering question is … are these results the final ones? And are they accurate? In August CMS released MSSP results.…
Read MoreThree tips for making outpatient CDI impact—the most important being, just do it
By Brian Murphy, Norwood Solutions The latest episode of Off the Record dropped last week and the call to action couldn’t be clearer: Outpatient CDI is the missing ingredient in your healthcare organization. We packed a lot into this episode, but here are three takeaways right off the top to get you moving. Aggressively…
Read MoreThe ROI of Outpatient CDI
Listen to the podcast here. Many healthcare organizations know they need an outpatient CDI program, but are tripped up by the most fundamental question: What is the expected return on investment* after a considerable upfront investment of time, human capital, training, and technology? Discover the tangible impact of outpatient CDI on revenue, risk…
Read MoreTexas court vacates 2023 RADV rule, CMS audit expansion plans in doubt
By Brian Murphy Score a major win for Medicare Advantage (MA). A Texas district court ruled on Thursday, Sept. 25 that CMS must vacate the final risk adjustment data validation (RADV) rule of 2023. The court ruled that the CMS rule did not give adequate notice nor comment period to a groundbreaking…
Read MoreUnlocking the Triple Aim: How Mid-Revenue Cycle Leaders Can Drive Impact
Register here: https://my.demio.com/ref/Cy5EP1fPWPnkMXuq Healthcare organizations continue to be measured against the Triple Aim: improving population health, enhancing patient experience, and reducing the per capita cost of care. Yet for many, the link between revenue cycle management (RCM) and these objectives can feel indirect. The truth? CDI, coding audits, and physician queries are essential levers. Join…
Read MoreRetiring, But Not Quietly: Fran Jurcak on Tech, Tenacity, and CDI Truths
Listen to the podcast here. If you’ve been in the CDI space for any length of time you probably know the name Fran Jurcak. After a memorable stint as an ER/trauma nurse, CDI and then consulting, Fran made an impact in ACDIS, serving on the CCDS certification committee and later the ACDIS advisory board. She…
Read MoreCigna auto-downgrade of high E/M levels a troubling start to new fiscal year
By Brian Murphy Oct. 1 begins a new fiscal year and new rules and regs including the 2026 IPPS final rule and Official Guidelines for Coding and Reporting. But also a troublesome new E/M coverage policy by a major insurer that’s worth examining. And not just because of its potential payment impact, but the precedent…
Read MoreACDIS CDI Industry Overview Survey: Norwood analysis reveals denials blind spots, OP CDI sluggishness
75% of CDI leaders don’t know their denial rate. That should scare every CFO. The ACDIS CDI Week Industry Overview survey is out. Nearly 800 respondents answered questions related to engagement, denials, outpatient CDI, productivity, and more. Here’s a few observations. Provider engagement levels are good but not where they need to be. About 57%…
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