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Health Information Management

Expert analysis, advice, and education for health information managers to improve processes for coding and reimbursement, medical records management, HIPAA, and clinical documentation improvement and ensure compliance with regulatory requirements for hospitals, clinics, and physician practices.

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Top Stories

  • CMS releases 2013 OPPS final rule

     CMS released the 2013 OPPS Final Rule on November 1, which finalizes APC payment system changes for 2013 but hospitals will need to read the 2013 Medicare Physician Fee Schedule (MPFS) Final Rule to find some of the biggest operational changes facing them in 2013.

  • CMS says it's not too late to avoid payment adjustments

    Eligible professionals (EPs), eligible hospitals, and critical access hospitals (CAHs) that cannot demonstrate meaningful use of electronic health records (EHRs) could soon face Medicare payment adjustments. But CMS has an important message for providers: there’s still time to prove meaningful use and avoid adjustments.

  • CMS releases new ICD-10 FAQs

    CMS released three FAQs about ICD-10 billing, including how to bill encounters that cross the ICD-10 implementation date. That’s October 1, 2014 in case you forgot. And a claim cannot contain both ICD-9 and ICD-10-CM codes. So what to do you?

  • Q/A: How do we report therapy G codes and modifiers for multiple therapies?

    Q: Our outpatient rehab department is having some discussion about how to report the G codes and modifiers. They are struggling with how to report the codes when the patient has multiple reasons for attending therapy.  

  • Tip: Start preparing for reimbursement changes under ICD-10

    Providers will get good and bad news about reimbursement under ICD-10. The bad news is that providers will likely see a slowdown in cash flow after ICD-10 implementation.

  • Don't forget to submit your comments for the IPPS proposed rule

    CMS proposed revisions to the Hospital Inpatient Quality Reporting (IQR) Program when it issued the Hospital Inpatient Prospective Payment System (IPPS) Notice of Proposed Rulemaking (NPRM) in April. CMS is currently accepting comments on the proposed rule but the deadline for submission is quickly approaching. All comments must be submitted by June 25 so that responses can be included in the final rule, which will be issued by August 1.

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Quick Poll

How often do you attend a major coding conference, such as the AAPC or AHIMA national conference?

  • 55%: I've never attended a national coding conference
  • 24%: I attend at least one every year
  • 17%: I try to go to one every two or three years
  • 2%: I go on a rotating basis with other staff members
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Spotlight

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