Consulting

Can the work of a CDI specialist or risk adjustment coder impact HEDIS measures?   It’s a question growing in importance, as reimbursement is tied to quality outcomes, and transparency and star ratings allow patients to shop for providers and health plans.   Some believe HEDIS measures are impacted/satisfied only through the provision of clinical…

Why risk adjustment coders are more valuable than ever   By Crystal May, CCS, CPC, CDEO, CPMA, CRC, AAPC Approved Instructor, Senior Risk Adjustment Consultant, Norwood   If you’re of a certain age, the title of this article probably conjured up the image of a popular male actor sliding across a wooden floor in a…

Postop respiratory failure: The never-ending query By Donielle Bailey, RHIA, Norwood Senior Auditor We have all experienced the frustration of coding a complex or detailed elective operative report only to become ensnared in a postop progress note respiratory battle. Physicians provide their clinical assessment of the patient’s postop respiratory condition with documentation that includes, “intubated…