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Work-Life Wins with A.J. Hegg: New Essentia Health physician advisor program balances UM, CDI, ROI, and a healthy culture

Listen to the episode here.   Until about 6-7 years ago A.J. Hegg had little idea what the acronyms CDI or UM were, much less…

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Good denial news: 2026 Medicare Advantage Final Rule prevents MA plans from reopening previously approved inpatient admissions

By Brian Murphy CMS in April released the 2026 Medicare Advantage final rule. Here’s three important items you should know about. Between this and the…

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Complying with Medical Record Documentation Requirements

CMS published a valuable and (surprisingly) easy to read fact sheet relevant to anyone in the mid-revenue cycle.  Link to “Complying with Medical Record Documentation…

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2026 IPPS proposed rule: Seven key takeaways for CDI, coding professionals

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…

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Social Determinants of Health (SDOH), integral to preventive medicine and cost reduction, in jeopardy under new CMS administration

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…

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