Debunking the Top 5 CDI Myths: How to Improve Patient Outcomes and Optimize Reimbursement
By Dave Friedenson, MD, FACEP, Chief Medical Officer Clinical documentation is undeniably the foundation of quality patient care and accurate reimbursement. It’s also a critical area of opportunity. Introducing clinical documentation improvement (CDI) programs is a proven strategy for enhancing the accuracy and completeness of medical records, contributing to better clinical outcomes, more efficient resource […]
Why Documenting Medical Decision Making Matters for Coding, Revenue, and Patient Care
With medical decision making defining the level of visit, accurate documentation is integral to establish the complexity of visit for medically appropriate RVUs. Medical decision making (MDM) is arguably the most important part of patient care. Clinicians leverage their experience, knowledge, judgement, and consider a wide range of perspectives to make the best medical decisions. […]
Unlocking Enhanced Compliance & Revenue with AI-Powered Clinical Documentation Improvement Solutions
AI-powered Clinical Documentation Improvement is Revolutionizing the Physician Documentation Process, Reinforcing Compliant Coding and Driving Increased Reimbursement In this age of AI and smart health systems, clinical data is of paramount importance to healthcare providers. It is not only crucial for medical decision-making and continuum of care, but also essential to support precise level […]
EM Billing and Coding Overhauled by CMS effective January 1, 2023
Dr. David Friedenson, M.D. FACEP, Chief Medical Officer, Omega Healthcare, contributed to an article in Emergency Medicine News on April 25, 2023, titled, “CMS Overhauls EM Billing and Coding.” Authors include Hamid E. Nia, DO; Jean Scofi, MD, MBA; David Friedenson, M.D. FACEP; and Matthew R. Laghezza, PA, MBA. The discussion centers around recent major […]
Six Common Medical Coding Mistakes That Impact Revenue
Breaking Down the Medical Coding Dilemma: 6 Common Medical Coding Mistakes to Avoid One of the most significant contributors to rising healthcare costs is administrative waste, which is estimated to account for between 15 to 30 percent of all healthcare spending. Inefficient, time-consuming manual processes are at the heart of the problem.[1] This is especially true in the […]
Top Challenges in Medical Coding: Takebacks, Payer Audits, and Denials
Responding to New-age Medical Coding Challenges Demand Clinically and Technologically Enabled Transformational Solutions Hospital and healthcare system staff working at every level know only too well about the outdated and inefficient processes that are still commonplace in today’s medical coding workflows and the subsequent costs to their organization. Administrative waste is among the greatest contributors […]
How Risk Adjustment Coding can help Optimize Revenue and Improve the Patient Experience
Provider Education is Key to Improving Risk Adjustment Coding Compliance Lack of collaboration and friction between payers and providers has been a problem for decades. Before high-deductible health plans, most of the behind-the-scenes administrative processes—where much of the conflict resides—were of little concern to consumers. Now that those consumers are responsible for more of their […]
Four Unexpected Causes of Medical Coding Backlogs and How to Address Them
Unraveling the Reasons Behind Medical Coding Backlogs High-quality coding is the foundation for timely, accurate reimbursements; an issue during the coding process can lead to time-consuming rejections and costly denials. This, in turn, creates a cog in the entire revenue cycle that leads to backlogs, lingering days in A/R, and delayed reimbursement. We’ve put together […]