Search results for: advanced
Inpatient CDI Consultant
To Apply for this Job Click Here Type: Permanent(Internal) Pay: Apply For Details Location: Remote Job Description: Ever wanted to help build the organization you always wanted to be a part of? At Norwood we’re forging our own path. We’re a remote-first staffing and consulting company specializing in mid-Revenue Cycle management within the healthcare industry. Our…
Read MoreOP Risk Adjustment CDI Manager
To Apply for this Job Click Here Type: Audit+Education Pay: Apply For Details Location: Remote Outpatient Risk Adjustment CDI Manager Norwood is seeking a full-time, remote Outpatient Risk Adjustment CDI Manager to lead an ambulatory CDI program. The Manager will support improvements in the quality and completeness of medical-record documentation through prospective and retrospective review…
Read MoreA very bad start to the year for Medicare Advantage; whistleblowers and government officials expose questionable risk adjustment coding practices
By Brian Murphy This has been a terrible start to the year for Medicare Advantage. Senator Chuck Grassley’s report “How UnitedHealth Group Puts the Risk in Medicare Advantage Risk Adjustment” landed like a bombshell on Jan. 12. It revealed the extent of UHG’s “robust diagnosis capture workforce,” from advanced analytics to in-home health assessments…
Read MoreTelehealth 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…
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