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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…

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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…

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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,…

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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…

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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,…

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