The Norwood Blog
News & Insights
You need to have it both ways: Audits must target missed coding opportunities and invalid conditions in risk adjustment
By Brian Murphy Among the alleged behaviors that led to Kaiser’s eventual $556M payout to settle false claims act allegations was its aggressive effort to…
March 6, 2026
Five things to know about Present on Admission (POA) for hospital payment, quality
By Brian Murphy Present on admission (herein POA) for coding purposes is defined as conditions that are present at the time the order for the…
How a baseline became a springboard to documentation, coding improvement
What gets measured, gets managed. An old business truth … but we don’t always think of the inverse. Without a baseline, you won’t know where to focus. An integrated healthcare system comprised of county-owned hospitals and clinics suspected…
Risk Adjustment Reality Check: What’s Working—and What Isn’t
Listen to the podcast. This year has been something of a reckoning for Medicare Advantage. Senator Grassley’s scathing report of UHG’s risk adjustment practices, and the Kaiser $556 million settlement to resolve False Claims Act allegations…
Do you follow the GOLD standard for COPD diagnosis and management, mid-revenue cycle professionals?
By Brian Murphy Are you following the GOLD standard for COPD diagnosis and management? Medscape has a great article and video on this underreported diagnosis…