Tag Archives: medical coding

A way to save real dollars on each business transaction

As providers work to meet the demands of value-based care and population health management, they are discovering the importance of data and the ability to share that data. Often the focus is on the shareability of clinical data. But data sharing can also provide opportunities for efficiencies and cost savings in claims submissions and patient payments — […]
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A critical link between patient engagement and payment resolution

With patient satisfaction scores playing a bigger role in health care providers’ financial bottom lines, hospitals and health systems must pay attention to all interactions with patients, including the billing process. This may require reviewing and updating your revenue cycle. Recently, Becker’s Hospital Review recapped insights from revenue cycle management (RCM) leaders shared over the […]
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Understanding the risks of incomplete medical coding

Information that could affect readmission risks, reimbursement, quality assessments and more is missing from medical records according to a recent study. MedPageToday reported on the study, conducted by researchers at Johns Hopkins University School of Medicine and published in November 2015 in the journal PLOS ONE. The researchers compared two large databases – one based on claims […]
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Documenting diagnoses makes a difference in care quality.

An often-repeated statistic warns that 8 million Americans have diabetes and don’t know it. There are similar claims about other chronic illnesses, like hypertension and chronic heart failure. If a patient doesn’t know they are missing a diagnosis, their health care provider may not either. The white paper Accurate coding: The foundation of accountable care explains that […]
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Payers: How to ensure you have good command of ICD-10

The years of preparation, planning and work are about to pay off: ICD-10 is here. On October 1, 2015, the national standardized coding system goes live. For payers, system remediation, end-to-end testing, financial impact analyses, staff training and risk analyses/contingency planning should be done. But the real work is just beginning. ICD-10 presents a major […]
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Ten principles to help you engage providers around ICD-10

With less than three months until the ICD-10 go-live date, you may still be having trouble engaging providers around the new code set. If so, that’s not surprising. While we know that patient care will ultimately benefit from ICD-10’s increased specificity and data detail, doctors are focused on the here and now. And frankly, they […]
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ICD-10: Have you planned for the aftershock?

Once again, the nation is bracing for the anticipated widespread tremors of the ICD-10 conversion. Assuming the mandate is enforced on October 1, 2015, hospitals are — or had better be — building out their support strategies. Whatever your tactics, don’t underestimate the aftershock. There’s no one-size-fits-all preparedness plan, but we do know one thing […]
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Analytics reduce the rate of uncoded patients

Patients without a coded diagnosis, Humedica’s research has revealed, represent a significant opportunity to improve care and reduce costs.

After coding, highest-risk patients improve the most

Humedica’s analysis of a data set representing more than 4 million patients revealed that patients without a coded diagnosis are relatively high risk—and use less ambulatory care than coded patients. But what happens after they are coded?

Humedica uncovers the link between coding and patient care

Accurate coding is crucial to accountable care because it is strongly associated with the kind of care patients receive.