Posts by Norwood Staffing
Norwood takes a retreat—watch the highlights from Camp Norwood III
As a wise man once said, all work and no play make Jack a dull boy. We feel that here at Norwood too. Sometimes we all need a little retreat. The entire team at Norwood took a few days off to head to the Lucky Arrow resort in Dripping Springs, TX, Nov. 1-3. A few days…
Read MoreNew Role for Mid-Revenue Cycle Professionals: Patient Advocates
OIG report points to need for helping victims of abuse and neglect, through coded data By Brian Murphy While you’re looking for diagnoses and procedures to clarify and code to their highest level of specificity you should also be looking out for the best interests of the patient. That includes evidence of suspected abuse or…
Read MoreWhat’s in it for the physician in value-based care arrangements?
By Jason Jobes, SVP Solutions, Norwood What’s in it for me? It’s an age-old question. I feel like this also comes up a lot in the value-based care space when partnering with physicians and other providers. How do you respond to the “what’s in it for me” when a provider asks why they…
Read MoreThe art of defense: Legal lessons from an OIG audit of severe malnutrition
Off the Record recently featured a wide-ranging conversation with Vaughn Matacale, physician advisor for Vidant Health (now ECU Health), an organization that found itself on the receiving end of an OIG audit of severe malnutrition claims. On this episode I’m pleased to bring you a continuation of that story from the legal team that…
Read MoreCMS Inpatient Only List: 10 new codes added, 11 surgical codes added to ASC-covered list
By Brian Murphy CMS does not seem too interested in the practice of medicine. Nor should it; that is best left to medical school graduates and associations like the American College of Cardiology. But CMS does exert itself in this space, sometimes with backlash. See for example the hue and cry against its adoption of…
Read MoreMedicare vs. Medicare Advantage: Which will (and which should) come out on top?
By Brian Murphy Is anyone else as interested as I am in the ongoing power struggle of Medicare vs. Medicare Advantage (MA)? Established in 1965, Medicare has been dominant for decades. But MA, introduced in 2003, is its 20th year set to surpass Medicare in number of covered lives. We’re possibly at a tipping point,…
Read MoreBreathing life into pediatric CDI: Meet Sandra Love
Listen to the full episode here: https://spotifyanchor-web.app.link/e/bW3gRsyzlEb As a non-clinician I can think of few things more terrifying than having responsibility for the life of a fragile newborn in your hands, and your hands alone. Welcome to the early nursing career of Sandra Love. Sandra served as a labor and delivery nurse…
Read MoreSevere Sepsis/Septic Shock Early Management Bundle part of HVBP on Jan. 1: Are you ready?
By Brian Murphy Hospitals are about to have (additional) reasons to get sepsis documentation and coding right. As if they didn’t already. Hospitals have been implementing and documenting the Severe Sepsis/Septic Shock Early Management Bundle, aka., SEP-1 for years through the Inpatient Quality Program. There were already incentives to document it, including payment. But CMS…
Read MoreA clinical vision of risk adjustment: Meet Katie McLaughlin
It’s often said that to be a good CDI or coding professional you have to roll up your sleeves and get clinical. If you code just what is explicitly documented you will miss opportunities; if you don’t understand A&P and pathophysiology, you will make mistakes. But what about those who take the opposite path? Katie…
Read More$172M Cigna false claims act settlement serves as a compliance blueprint
By Jason Jobes $172.3M should get attention. The Justice department settled a false claims case with Cigna surrounding its chart review program from 2014-2019. See link to the news release below. As always, thank you for liking, commenting, and sharing these posts. To succeed in risk adjustment an organization needs to ensure that risk…
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