UnitedHealthcare and the American Medical Association have joined forces to enable healthcare organizations and payers to use ICD-10 codes for social determinants of health. The two organizations say they are…
By combining traditional medical data with self-reported SDOH data, the codes trigger referrals to social and government services to address people's unique needs. KEY TAKEAWAYS Increasingly, payers, providers, and state…
Medical coding is a key component of revenue cycle management. When done efficiently and accurately, it helps ensure hospitals are properly reimbursed for the services they provide. Here are 15…
The American Health Information Management Association (AHIMA) has announced a collaboration with the American Health Care Association (AHCA) to provide in-depth coding and clinical documentation improvement (CDI) training programs. The…
The revision was long pending and will feed the country-level mortality and morbidity data requirements to progress towards achieving sustainable development goals (SDGs) and universal health coverage (UHC). ‘International Classification…
In October 2015, physicians across the United States transitioned from the International Statistical Classification of Diseases and Related Health Problems, Ninth Revision to the tenth revision (ICD-10-CM, the US version…
Starting October 1, skilled nursing facility operators will have no choice but to become proficient with a specific type of medical coding that previously had no bearing on reimbursements —…
Global Healthcare Revenue Cycle Management Market is set to exceed USD 100 billion by 2024; according to a new research report by Global Market Insights. Increasing healthcare expenditures in developed…
According to report published by Grand View Research, Rising importance of evidence-based medicine, pharmacoeconomic risk benefit analysis of different drugs and medical devices, and insurance settlements are major factors driving…
The shift to value-based care has driven public and private payers to redesign reimbursement models that stress accountability for care quality and healthcare costs. As the fee-for-service environment fades away,…
Technology is enabling patients and providers to connect in an unprecedented manner. The Internet, smartphones, wearables, and other technologies are allowing for instantaneous communication between providers and their patients and…
Long-term care professionals have been diligently cramming to prepare for a new skilled nursing reimbursement system in October, but a data expert had a sobering observation for presentation attendees Friday.…
HHS and the CMS Innovation Center (CMMI) recently announced a new alternative payment model for ambulance providers that aims to improve Medicare emergency transport services. The five-year Emergency Triage, Treat,…
Hospital leaders are concerned that their organization’s clinical documentation and coding processes are vulnerable to errors that could result in lost or decreased revenue, according to a recent survey. Consulting…
In most markets, when a buyer and a seller can't settle on a price, they walk away. Medicine is different. Doctors and insurance companies often sort out who owes what…
Although International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) took effect on Oct. 1, 2015, there still are many gaps in the understanding and use of the code set.…