Blog

Audits Offer Fix for Poor Coding Compliance, Lagging Reimbursement

Audits Offer Fix for Poor Coding Compliance, Lagging Reimbursement

THE EVER-INCREASING complexity of healthcare is driving the need for coding quality and compliance programs. Given the transition to ICD-10, advancements in treatments and procedures, a move to quality reporting, and evolving regulations with potentially lofty penalties, the lost reimbursement at stake as the result of poor coding is driving more providers to intensify their coding audit programs.

The trend among large providers is a wave of both random and targeted audits at varying stages of the revenue cycle—from pre-bill to post-bill analysis of key issues ranging from denials to specifics such as transfer DRGs.

Topics: Audit, Health Information Management, Quality

The Future of HIM Quality Audits

5 REASONS WHY CODING & DOCUMENTATION AUDITS ARE MORE IMPORTANT THAN EVER

All health information management (HIM) leaders know that coding quality audits are critical. We can all agree the consequences of substandard coding – lost revenue, increased denials, and greater compliance risk – make the development of a comprehensive coding audit program a priority for healthcare providers of all sizes. Unfortunately, scarce resources and conflicting priorities force many providers to compromise their compliance programs. But now more than ever, audits of coding and documentation quality are critical to the success of healthcare providers.

Topics: ICD-10, Audit, Health Information Management, Quality

Education & Insights from ACDIS 2018

There is no doubt, attendees of last week’s ACDIS 2018 conference will be speaking about it for months to come. The conference was comprised of over 90 speakers including physicians, registered nurses, health information management (HIM) administrators, certified clinical documentation specialists (CDIS) and certified documentation improvement practitioners (CDMP) to name a few. The tracks included something for everyone: Clinical & Coding, Management & Leadership, Quality & Regulatory, Expansion & Innovation, Outpatient and Pediatric. Needless to say, the educational opportunities were vast and it would be nearly impossible to share them all.

Topics: HIM, Health Information Management, CDI, Education

Russel Head Joins himagine solutions inc. as Chief Operating Officer

Posted by Mike Taylor

himagine solutions inc., the largest provider of Health Information Management (HIM) outsourcing solutions to healthcare providers in the US, today announced that Russel Head has joined the organization as the new Chief Operating Officer based in Tampa, Florida. In his role Mr. Head will be responsible for all client and revenue generating initiatives including sales and client management, as well as himagine’s industry leading recruiting team.

Topics: HIM, Health Information Management, Healthcare, Management, Corporate