Posts by Norwood Staffing
Risk Adjustment Data Validation (RADV) Final Rule Out: What it Means for Your Organization
By Brian Murphy The Risk Adjustment Data Validation (RADV) final rule is out. Others have covered the news better than I (see links below for what the rule says). Rather than add another voice in the chorus of “it’s out” I thought I’d voice a few thoughts on what the fallout will be, and should…
Read MoreRecommended CDI/coding Resources to Follow
By Brian Murphy Someone asked me in a recent post, “I want to stay up on CDI/coding/reimbursement news to help my career… what do you recommend?” Here is what I do. Subscribe to these e-mail newsletters: Office of Inspector General (OIG). A rundown of what the chief enforcer and protector of the Medicare Trust Fund…
Read MoreAn EPIC discussion with Chris Petrilli, MD: Talking CDI, COVID, AI, and more
Chris Petrilli is the Medical Director of Strategic Initiatives and Operations at NYU Langone Health. He’s an Associate Professor of Medicine at the NYU Grossman School of Medicine. … and he happens to have been a one-time stand-up comedian, whose gift for gab and comedic timing I can attest to. And may have been on…
Read MoreHealthgrades Rankings are out; How Much do they Matter to your Hospital?
By Brian Murphy Healthgrades has released its annual awards, including America’s Best 50, 100, and 250 Hospitals. You can view complete details in the link below. But how much do they really matter? These are broken out by state; in my home state of Massachusetts Lahey Hospital and Medical Center has now earned a third…
Read MoreCommon CC/MCC diagnoses of focus
What complication/comorbidities (CC) and major CCs (MCCs) are common sources of clarification in your healthcare organization or hospital? I have a good idea of what they probably are but am genuinely curious about yours; leave a comment below. We’ve got long lists in places such as the ACDIS Pocket Guide and CDI Pocket Guide, and…
Read MoreNew RADV rule coming soon; get your HCC compliance in order
The buzz is officially starting to build around the impending release of the Medicare Advantage Risk Adjustment Data Validation (RADV) final rule, which is expected to be published on or before Feb. 1 after years of delay. I hate to sound melodramatic (actually I don’t, healthcare reimbursement isn’t typically this dramatic and I need some…
Read More“You need to have a vision”: A conversation with Adelaide LaRosa, VP of HIM, CDI, EMPI, and DRG Appeals, Catholic Health
You’ll find few CDI/coding personalities as big and colorful as Adelaide LaRosa—and fewer still with a broader and bolder vision for what mid-revenue cycle professionals can do, and should do, to improve the quality and financial health of their organizations. Catholic Health’s VP of HIM, CDI, EMPI, and DRG Appeals reordered the entire heart of…
Read MoreFinal/updated ACDIS/AHIMA physician query practice brief is out: What does it say?
The final (revised/updated) ACDIS-AHIMA Guidelines for Achieving a Compliant Query Practice—2022 Update was released on Wednesday, Dec. 14th. What’s in it? If you’re a CDI or coding professional you need to read it. The link is below; the document is open source/free and available on the ACDIS website. A few items that jumped out at…
Read More2022 in review, 2023 look ahead—and a whole lot in between
For our final episode of 2022 we’re going off the record (even for Off the Record) with a couple interesting guests you may recognize from Brian’s home base at Norwood. This week we’re joined by CEO and Founder Justin Satterfield, and VP of Consulting Jason Jobes. As you might expect at the holidays the conversation…
Read MoreLittle-known profession, big organizational impact: Ren Garcia on the ins-and-outs of a career in cancer registry
What the heck is a cancer registry professional? How can they impact quality (and even revenue, indirectly) in your hospital? And why do Harley Davidson and Indian owners despise each other (and is it possible to like both brands)? If you’re at all curious about these incongruous questions, the latest episode of Off the Record…
Read More