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Bridging divides: Leif Laframboise on merging the clinical and financial through data

Listen to the episode here: https://spotifyanchor-web.app.link/e/n2tsZSPmCMb Bridging the gap between clinical and financial worlds is the goal of CDI and coding, but it’s much easier…

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Norwood MS-DRG audit results in substantial DNFB reduction, missed revenue opportunities

Even with the rapid growth of risk adjusted payments, Medicare Severity DRGs (MS-DRGs) remain the principal reimbursement mechanism for most healthcare organizations.   But despite…

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New CMS FAQ sheds additional light on compliant use of new HCPCS add-on code G2211

By Brian Murphy   Attention coders and mid-revenue cycle professionals: CMS has released a frequently asked questions (FAQ) document for new HCPCS add-on code G2211….

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Latest OIG report: $59M reasons to ensure accurate HCC capture

Latest OIG report: $59M reasons to ensure accurate HCC capture   By Jason Jobes   Want $59M worth of reasons to ensure accurate HCC capture?…

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New CMS claims-based surgical quality measure is in effect; are you ready?

By Brian Murphy   In the 2025 IPPS final rule CMS finalized its proposal to replace PSI-4 (Death Rate Among Surgical Inpatients with Serious Treatable…

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