Search results for: advanced
Telehealth requirements loosened, one of many changes in 2026 MPFS final rule
By Brian Murphy Sizable changes are coming Jan. 1 to telehealth, chronic illness and behavioral health management and reimbursement, and physician payment formulas per the recently released 2026 Medicare physician fee schedule final rule. I’ve summarized a few I find interesting. Telehealth commitment. I’m most excited about these changes. In a long overdue move CMS…
Read MoreBlue 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 unexpected trick, either. A large insurer in my home state of Massachusetts, Blue Cross Blue Shield of MA, will review E/M claims from providers who consistently bill at levels 4…
Read MoreRetiring, But Not Quietly: Fran Jurcak on Tech, Tenacity, and CDI Truths
Listen to the podcast here. If you’ve been in the CDI space for any length of time you probably know the name Fran Jurcak. After a memorable stint as an ER/trauma nurse, CDI and then consulting, Fran made an impact in ACDIS, serving on the CCDS certification committee and later the ACDIS advisory board. She…
Read More2026 MPFS proposed rule a boon for telehealth, G2211 expansion and more
By Brian Murphy CMS issued the Medicare Physician Fee Schedule (MPFS) proposed rule this month. Links for further reading below…or just ask ChatGPT? On second thought, don’t do that. There are a lot of proposals in the rule, but one that I wanted to highlight are changes to telehealth. I’ve always viewed telehealth as an…
Read MoreNorwood Inpatient CDI Boot Camp approved for AHIMA, ACDIS CEUs
Norwood is pleased to announce its new Inpatient CDI Boot Camp has been approved for 18 CEUs by AHIMA* and ACDIS ** (see full details below). This three-day in-person class offers client partners in-depth training on critical CDI concepts that improve the financial and quality health of their organization, including opportunities by Major Diagnostic Category,…
Read MoreFunctional quadriplegia still a documentation, coding headache for most healthcare organizations
By Brian Murphy Functional quadriplegia (ICD-10-CM code R53.2) was a big deal back in my ACDIS days, for a few reasons: 1). It wasn’t a term physicians typically used/documented, even though it’s a common condition among certain populations. Physicians and other caregivers are more apt to use “bedbound, total care” or other such terms. 2)…
Read MoreWhat responsibilities does a CDI specialist or IP coder possess in an AI-enabled environment? A look at some pros and cons
By Brian Murphy What does it mean to work as a clinical documentation integrity (CDI) or inpatient coder in a high-tech, AI-enabled environment? I got a glimpse of the future (for some, the present) this week while attending the ACDIS Virtual Symposium. And jotted down a few pros/cons as I see them, from the perspective…
Read MoreCalling Card for Success: Keisha Wilson on Entrepreneurialism and Telehealth
Listen to the episode here: https://spotifyanchor-web.app.link/e/bm8XvCnagLb I have to say it’s very inspiring being around my guest on today’s show. Prior to this episode of Off the Record I had never met Keisha Wilson … and within minutes I felt like we were friends. Something about her warmth and spirit that grabbed me right way.…
Read MoreRx for rural community health: CDI on a shoestring with Jennifer Cummins
Listen to the full episode here: https://spotifyanchor-web.app.link/e/uVBMHJadvIb Small community hospitals are the backbone of healthcare for most of the country, even today in this era of sprawling healthcare organizations and massive mergers. But while they’re critical to the health of our nation, resources are often scarce, and CDI is no exception. Jennifer…
Read MoreNorwood Announces Collaboration with Iodine to Optimize Mid-Revenue Cycle Operations
Partnership announcement Norwood partners with Iodine Norwood Announces Collaboration with Iodine to Optimize Mid-Revenue Cycle Operations Norwood and Iodine Software have teamed up to supercharge mid-revenue cycle operations for health systems. The goal of this partnership? Empowering customers to amp up efficiency, streamline workflows, and capture all the reimbursement they’ve earned. Health systems are struggling…
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