News
The Importance of Risk Adjustment in Value-Based Care Contracts
Tuesday, August 15, 1-2 p.m. EST Speaker Jason Jobes, BA, MSPA, SVP Solutions, Norwood Register here: https://my.demio.com/ref/598koA0hE1w2zFHB It’s no secret—healthcare reimbursement is evolving before our eyes, from traditional fee-for-service to value-based care/pay for performance. Medicare Advantage is poised to surpass traditional Medicare this year in the number of covered lives. Good…
Read MoreOIG targeted audits yield more immediate overpayments, but random audits may have more impact from extrapolation
Continuing the review of my findings from the OIG’s review reports (you can find links to parts 1 and 2 below), in this month’s issue of Mid-Revenue Cycle Minute I am turning my attention to random audits. Overall, there were only three random audits concluded and shared by the OIG in 2022-2023. In fact, the…
Read MoreNew CMS proposed rules increase transparency, mental health treatment, but provide little additional payment
CMS on Thursday July 13 released the 2024 outpatient prospective payment system (OPPS) and Medicare Physician Fee Schedule (MPFS) proposed rules … and as expected these were met with howls of outrage from the two leading impacted stakeholders, the American Medical Association (AMA) and the American Hospital Association (AHA). I can’t say I blame…
Read MoreOIG audits of Medicare Advantage reveal four eye-opening stats
Part 2 of an ongoing series Before I delve into part 2 of this ongoing series on my review of Medicare Advantage audits, I want to say thank you for all of the support, and for the warm reception of part 1 of this ongoing series. Please continue to like, comment, or share. The dialogue…
Read MoreSix Reasons Why Contract CTR Work Might be the Right Move for You
By Celeste Austin There is a lot of flexibility in being a contract Certified Tumor Registrar (CTR). It opens doors of possibilities when people are able to take their expertise and hard-earned certification into the project market! Here are six reasons why some people choose to do project-based contracting as opposed to working directly for…
Read MoreTop 5 Reasons Why You Should Be Working as a Traveling Case Manager
Case managers play a crucial role in coordinating patient care, optimizing outcomes, and ensuring smooth transitions across healthcare settings. But adding in the element of travel makes the role doubly unique and rewarding. If you’re considering a career in healthcare with a sense of adventure, travel case management is where it’s at. Here are…
Read MoreState of the CDI profession? Never brighter
Download our complementary special report Here at Norwood we’re excited about the state of the CDI profession. Are you? We hope so—and you should be. The numbers paint a pretty positive picture. In this complementary special report we summarize the interesting and varied work available to CDI professionals, compensation trends (headed upwards), tech…
Read MoreCodes, codes, and more codes: New FY 2024 ICD-10-CM, ICD-10-PCS codes hit the encoder
June was a big month if you have anything to do with medical coding. Codes, codes, and more codes—both additions, deletions, and code title revisions. On Friday June 16 the Centers for Disease Control and Prevention (CDC) released the FY 2024 ICD-10-CM (diagnosis) codes updates. That came hard on the heels of the release of…
Read MoreAHA pushes back on CMS IPPS quality proposals including SEP-1, HAC Reduction Program
By Brian Murphy As we sit in the waiting period between the IPPS proposed rule and the final rule (likely out in August), I took a look at the American Hospital Association’s comments. So that you didn’t have to. Link below. As a reminder CMS welcomes public comments as part of its rulemaking process. In…
Read MoreAnalysis of 17 OIG reports reveals compliance blueprints for Medicare Advantage and provider organizations
Part 1 of an ongoing series By Jason Jobes Today I am starting a series on my analysis of the 17 Medicare Advantage OIG reviews released from 2022-2023. Given the rule released on extrapolation earlier this year hopefully we can use some of the findings to springboard improvement. Thanks for reading. If you find this…
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