** The coding information and guidance are valid at the time of publishing. Learners are encouraged to research subsequent official guidance in the areas associated with the topic as they can change rapidly.
Top Audit Finding: Discrepancies in Secondary Diagnosis Assignment on Outpatient and Pro-Fee Claims
Publication: RACMonitor
There is no need to worry about coding for HCCs or risk adjustment. Just follow the coding guidelines. | Read More.
Haugen Academy Core Knowledge
Publication: Haugen Academy Core Knowledge
Medicare, Medicare Advantage and Medigap are among the largest payers for health care services in the United States. New Medicare cards are coming! Are you ready? Read More.
Power Down – Best Practices for Managing and Decommissioning Legacy Systems
Publication: Journal of AHIMA
A SUCCESSFUL DECOMMISSIONING project depends upon collaboration, leadership, and retention practices based on an enterprise approach to information governance and management. For organizations that have not established retention policies, best practices may emerge along with lessons learned during the conversion to new systems. Proactive planning, however, is best. This article chronicles the journey of Denver Health and the complexities the organization faced when decommissioning legacy systems, and offers best practices for others to follow. | Read More.
Cardiovascular and Vascular Interventional Radiology Specialization Improves Coding Performance
Publication: ICD10 Monitor
While you may have dedicated CPT coders for interventional cardiology and vascular interventional radiology for outpatient coding, you may not have considered the importance of doing the same for inpatient ICD-10-PCS coding. | Read More.
How to Move from Denial Management to Prevention
Publication: AHIMA
As the healthcare industry moves toward value-based payment, making the shift from denial management to denial prevention is essential. Provider organizations are now realizing the importance of a proactive approach that prevents initial denials at the beginning of the revenue cycle. | Read More.
Time for a CAC Check-In? Progress and Predictions for HIM
Publication: For The Record
The past three years witnessed tremendous growth in the use of computer-assisted coding (CAC) systems. Many hospitals and health systems decided to move forward with CAC implementations during repeated ICD-10 delays. In fact, according to a 2017 WinterGreen Research report, the overall CAC industry is expected to see continued adoption with the overall market rising to $5.1 billion by 2023. | Read More.
Jumping off Cliffs with Mary Beth Haugen
Publication: NEC Podcast
Mary Beth Haugen, MS, RHIA, is founder and CEO of The Haugen Consulting Group and Haugen Academy, based in Denver, Colorado. She has over 25 years of experience in Health Information Management. Prior to launching Haugen Consulting Group, Mary Beth held leadership roles in Information Services and HIM in a variety of healthcare settings. | Read More.
2017 AHIMA Triumph Award
Publication: AHIMA
The LEADERSHIP AWARD honors those individuals or groups who have provided outstanding service as leaders; demonstrated ongoing leadership competency with the Association and the HIM profession; adhered to and advocated for the AHIMA Code of Ethics, and other appropriate codes of conduct; valued honesty, integrity and transparency and worked as team players/collaborators; been recognized as a qualified authority in the HIM profession; and presented a positive professional image for the Association and the profession. | Read More.
Finding documentation for HCC reporting purposes
Publication: JustCoding
Can you explain where in the clinical documentation it would be acceptable to report from for hierarchical condition category (HCC) purposes? Would you code from history of present illness, past medical history, active problem list, or the assessment? | Read More.
Rigorous documentation, diagnosis coding pays off in risk-adjusted reimbursement
Publication: JustCoding
In the outpatient world, physicians are accustomed to seeing services as the key to reimbursement, but as healthcare shifts toward value-based care, severity and outcomes will increasingly factor into reimbursement as well. | Read More.