Five Emerging Mid-Revenue Cycle Roles

medical coder

By Brian Murphy New job functions will be needed to meet the changing nature of healthcare delivery and reimbursement. And soon. Here are five. These are my predictions but I feel good about them. Note: Many/most of these exist in some form or fashion now, but I believe the demand will grow, and explain why.…

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Rx 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…

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UnitedHealthcare Cyberattack Underscores need for Increased Government Oversight, Medicare Advantage Reform

unitedhealthcare

By Brian Murphy I’ve been thinking about the disastrous cyberattack, which is costing providers a reported $100M per day. And what it means for the future of healthcare, including Medicare Advantage (MA). UnitedHealthcare deserves no blame for the attack itself. We can blame its lack of preparedness. We should criticize its inadequate response. But they…

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Artificial Intelligence: Beneficial to CDI and Coding Professionals, but also puts Clinical and Coding Knowledge at Risk of Erosion

artificial intelligence

By Brian Murphy MedPage Today asks: Could AI put clinical knowledge at risk? I’d like to slightly alter the question: Could AI put clinical/coding knowledge at risk, for mid-revenue cycle professionals? I’m intrigued by all things AI. Not just for the obvious reasons (how it works, intellectual property/fair use implications), but also for what AI…

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OM(G2211)! New HCPCS code leaves mid-revenue cycle professionals with lingering uncertainty

HCPCS Code G2211 Impact

By Crystal May, CCS, CPC, CDEO, CPMA, CRC, AAPC Approved Instructor Senior Risk Adjustment Consultant, Norwood     From the beginning, new HCPCS code G2211 has been surrounded by questions, uncertainty, and controversy. G2211 was supposed to be implemented in 2021, with CMS originally stating it would be “a single add-on code describing the work associated…

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Owl by Norwood

If you have an outpatient CDI program, or are hoping to take flight into risk adjustment and value-based care, Owl by Norwood is the software solution you’re looking for. Owl by Norwood sits on top of your EMR and provides all the basic tracking functions a CDI or coding director could ask for, in an…

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New definition of Diabetic Ketoacidosis (DKA): Coding, auditing, and CDI professionals take note

diabetic ketoacidosis

By Brian Murphy The clinical definition of diabetic ketoacidosis (DKA) is changing. CDI and coding professionals take notice. A recent article on Medscape (link below) says a forthcoming definition will “de-emphasize glucose from the diagnostic criteria for DKA, along with many other updates to the last statement on the topic, which was published 14 years…

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