News

The FY 2026 IPPS proposed rule is out… what does it contain? With the change in administration I wondered if we wouldn’t see a delay or even suspension of new IPPS rules. That wasn’t the case. The rule was published Friday, April 11. Overall, no huge changes or surprises. I wouldn’t call the 2026 IPPS…

By Brian Murphy Health is far more than just biology, pathophysiology, or medical facts about a patient. Non-medical factors influence health outcomes, including the conditions into which people are born and live. Think about housing instability, lack of access to care, poor food security, and (un)employment. Today we call these social determinants of health (SDOH).…

Norwood is pleased to announce its new Inpatient CDI Boot Camp has been approved for 18 CEUs by AHIMA* and ACDIS ** (see full details below). This three-day in-person class offers client partners in-depth training on critical CDI concepts that improve the financial and quality health of their organization, including opportunities by Major Diagnostic Category,…

By Brian Murphy Functional quadriplegia (ICD-10-CM code R53.2) was a big deal back in my ACDIS days, for a few reasons: 1). It wasn’t a term physicians typically used/documented, even though it’s a common condition among certain populations. Physicians and other caregivers are more apt to use “bedbound, total care” or other such terms.  2)…

By Brian Murphy Could artificial intelligence (AI) increase physician burdens—and burnout? This headline from Healthcare Dive (see link to full article in the comments) is provocative … but might not be clickbait. This is admittedly a complex issue with a lot of “it depends.” It depends on what product you’re using. It depends on what…

By Brian Murphy An update to the ICD-10-CM Official Guidelines for Coding and Reporting (OCG) is out. These changes take effect April 1. I’ve provided the link below. The following three changes are of particular importance to CDI and coding professionals. I recommend reviewing the entire document which won’t take long; as a reminder, the…

By Jason Jobes, SVP, Solutions Best Practice Tip: On January 1st of every year identify what percentage of your patients’ risk-based contracts have a scheduled PCP appointment. As full implementation of V28 of CMS-HCCs looms larger, I want to share a best practice I discuss with our partners. What percent of your patients have their…

By Brian Murphy What does it mean to work as a clinical documentation integrity (CDI) or inpatient coder in a high-tech, AI-enabled environment? I got a glimpse of the future (for some, the present) this week while attending the ACDIS Virtual Symposium. And jotted down a few pros/cons as I see them, from the perspective…

By Brian Murphy   You’ve got to read. Whether it’s a blog post, a book, or in the case of the professions I serve, the patient’s chart.    Reading results in comprehension and eventually, understanding. It takes time, but it’s time well-spent.   I believe very strongly in this, which is why in my ACDIS…

By Jason Jobes, SVP, Solutions   DOJ ALERT: The Wall Street Journal is reporting that UHC is under investigation for Medicare Advantage (MA) billing practices. Why, and what should you know?   Thanks for reading Mid-Revenue Cycle Minute. Don’t forget to follow me on LinkedIn where I share content like this regularly.   The WSJ…