As with many other physicians of a certain age, I have had the opportunity to practice patient care in both the worlds of paper and electronic charting. Granted, as a…
Is there an arms race involving using technology for submitting claims and auditing them? In one example, an electronic health record system was deployed that would increase reimbursements. It would…
The EHR is no longer in its infancy; it is exiting its “terrible twos” stage and growing up. It’s a new year, and welcome, 2023! When I still practiced clinically,…
Health Information Manager: Five Essential Skills To Possess : The record-keeping of patients is transitioning from traditional handwritten ways to digital formats. Health care providers are using the latest technologies to…
Did you know that the United States has over 6,000 hospitals? Unfortunately, not all of them can provide high-quality treatment due to the lack of equipment. If you’re running a…
Medical coders are typically behind the scenes of patient care, analyzing records, selecting codes for billing, and managing patient data. But to Jannifer Owens, a revenue cycle expert with over…
Prior authorizations consume hours of physician time as they seek insurer approval for drugs and treatments. Health plans say prior auths improve the quality of care and manage healthcare spending,…
The stories of Americans affected by surprise medical bills are hard to believe. A teacher with insurance was taken to an out-of-network medical facility when he suffered a heart attack…
Tina R. Strawn, RN, administrative director of operations for patient financial services at Houston-based Harris Health System, has 27 years of healthcare experience. Throughout her career, she has worked in…
It’s every physician’s worst nightmare: Receive payment for services rendered, but then a payer identifies an aberrant pattern in claims data, audits the records, decides it has overpaid the practice,…
Apocryphal story from residency: On morning rounds in the critical care unit, the post-call resident starts to present a complicated patient admitted overnight with chest pain, and after the first…
As healthcare organizations continue to utilize data that is becoming increasingly complex, it is essential that the data is captured and documented properly. Clinical documentation improvement (CDI) helps ensure that…
Senior Housing Companies, which offers assisted living services and healthcare to individuals living in retirement communities, was dependent upon manual paper processing to manage its 17 senior living communities in…
Some of the state’s most influential doctors’ groups are pressing the insurance commissioner to investigate a change that Blue Cross and Blue Shield of Texas is making to its emergency…
Clinical documentation improvement (CDI) ensures that health services are accurately documented and helps healthcare coders and physicians work toward improved patient care while also streamlining productivity. When meaningful clinical data…
Nearly 90 percent of physician practices with six or fewer practitioners are not using optimization tools included in their electronic health record systems, according to findings in a new report…