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Documentation with a Pulse: Erin Kreider on ethics, CDI advocacy, and ambient listening
Listen to the episode here. Erin Kreider gives me hope for the future of the CDI profession. That’s a pretty positive first impression for someone…
Blue Cross Blue Shield of Massachusetts to downcode high level E/M codes for outlier providers
By Brian Murphy We’ve got another blanket E/M downcoding policy set to take place on Monday, just after Halloween. Not a treat. Not a totally…
The power of a pilot: How one organization took flight with OP CDI
Implementing an outpatient CDI program across a large integrated healthcare organization with nearly 80 physician practices and a half-dozen urgent care and community medical centers,…
Medicare Advantage feels like the Wild West — don’t wander off the trail. Download our special report
In May CMS dropped one of the biggest announcements since the advent of ICD-10: An exponential increase of Medicare Advantage (MA) risk adjustment audits. The…
Are you accurately charging for trauma team activation? The OIG is watching
Revenue category code 068.X and HCPCS code G0390 allow trauma centers to cover the high costs of keeping a trauma team on standby—surgeons, ER physicians,…
November 4, 2025