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Solutions Spotlight: OIG Toolkit a Valuable Blueprint for Risk Adjustment Coding Compliance

By Brian Murphy The OIG Toolkit To Help Decrease Improper Payments in Medicare Advantage Through the Identification of High-Risk Diagnosis Codes is a valuable tool…

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Five Emerging Mid-Revenue Cycle Roles

By Brian Murphy New job functions will be needed to meet the changing nature of healthcare delivery and reimbursement. And soon. Here are five. These…

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Try a “yes, and” approach when changing provider documentation habits

I love this “yes, and” approach recommended by my current Off the Record podcast guest, Kalee Vincent.   Many physicians prefer (and need, for quality…

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Payers turning to clinical validation to ignore coding guidelines, deny claims

By Brian Murphy   Clinical validation audits are on the rise and among the chief causes of claims denials, per my current Off the Record…

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No one will hire a CPC-A, or a coder without experience? Think again

By Brian Murphy   “Nobody will hire a CPC-A.” “Nobody will hire without experience.”   My recent guest on Off the Record, Revka Stearns, describes…

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