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Mid-revenue cycle professionals must ask: What would make our physicians’ lives easier?

By Brian Murphy Every so often—check that, on a regular basis—it pays to step back and think about the physician. We are pushing ever more…

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Elixhauser: A mouthful to say, but a must know concept in understanding hospital quality and performance

By Brian Murphy Elixhauser. That’s the post. Still with me? I get it. What a name and a mouthful. I think I first heard it…

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Code Red: Aligning Risk Adjustment with CMS’s New Audit Mandate

Listen to the episode here.   For this week’s episode I’m bringing you something a little different, but of such importance that I had to…

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Code Red: CMS announces massive audit expansion of Medicare Advantage, raising risk adjustment coding questions

By Brian Murphy For a while I felt like this was coming to a head. As far back as 2016-2017 I was monitoring reports of…

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Are you assigning admit type based on NUBC guidelines—or a loose interpretation to influence quality metrics?

By Brian Murphy  Prior to our Off the Record podcast recording my guest Penny Jefferson shared with me a white paper she authored on admit…

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