Content
Inpatient vs. outpatient coding differences place provider certainty under the spotlight, raise risk adjustment question
By Brian Murphy Why can diagnoses in the hospital inpatient setting be coded if they are possible/probable/likely/suspected, but in the outpatient world you can only code to the highest degree of known specificity? The difference is rooted in the ICD-10-CM Official Guidelines for Coding and Reporting. In the hospital inpatient setting, you are allowed to…
Read MoreWhat is your CDI chart review process in the outpatient setting? One organization’s is very thorough
By Brian Murphy Among the highlights of my interview with current Off the Record guest Glenda Bocskovits was hearing about her organization’s process of outpatient CDI chart review. Which is very thorough. The practice of OP CDI is an art, with no one right way. If I were to hazard a guess, I’d say most…
Read MoreCMS announces massive audits of Medicare Advantage plans; time for compliance is now
By Jason Jobes, SVP, Solutions HUGE CMS AUDIT ALERT: CMS just dropped major news that they are exponentially increasing Medicare Advantage and risk adjustment audits. WOW! Our Norwood team has become an industry leader in understanding the nuances of Medicare Advantage audits, risk score accuracy, and education. Are you ready? Is your outpatient CDI program…
Read MoreThe increasing complexity of CDI begs the question: How can we simplify and move forward?
By Brian Murphy Clinical documentation integrity (CDI) has grown increasingly complex. We’ve all heard about the “quadruple aim” of healthcare (a framework whch I’ve never liked, four aims = no aim), but in comparison to CDI the quadruple aim=amateur hour. Many CDI programs have more than a dozen aims. Today a CDI department might track…
Read MoreTo broaden your perspective on work and life, keep climbing
By Justin Satterfield, CEO and Founder, Norwood My colleague and friend Clayton Simons has an uncle who climbed every “fourteener” in Colorado. These are mountains with an elevation of 14,000 feet or greater. There are 58 of them. Clayton and I plan to climb them all, too. Earlier this month we knocked off four in…
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 More5 Tips for Better Work Eating
Don’t let poor eating habits stand in the way of health, productivity, and morale. Respect Lunchtime Don’t be a mealtime martyr. “I didn’t have time to eat” may sound like a badge of honor to some, but it’s problematic on at least two counts: first, it suggests poor time management skills and, sadly, it shows…
Read MoreSearch Without Being Found
Making a career change from one company to another can sometimes be more difficult than looking for a job when you are unemployed. It can be challenging to conduct a job search without your current boss finding out about your hunt for something new. It’s not uncommon to be employed while hunting for a new…
Read MoreUse the 80/20 Rule to Beat Procrastination
Procrastination can show up in many forms, including spending time browsing Facebook or surfing the internet, checking your email obsessively throughout the day, talking with a co-worker about last night’s big game, or even spending a chunk of your time on busy work instead of more important projects. If you want to improve your success…
Read MoreBecome More Desirable For Any Job
Even during times of high unemployment, managers often lament that there aren’t enough qualified candidates out there. Follow these tips to increase your marketability and become highly sought-after in a competitive job market at your current employer or anywhere else. Boost Your Tech Savviness If you’re a software engineer, you already know you must keep…
Read More