Health Information Management

COVID-19 Workflows Improve Medical Coding Efficiency Beyond Pandemic

August 25, 2021 - Getting shots into arms has been a top priority for healthcare providers since the federal government gave the green light to several COVID-19 vaccines. But while speed was key for immunizers, medical coding efficiency has taken a major hit. At the heart of the issue is the way two major COVID-19 vaccines were created, Amber Epperson, RHIA, CHDA,...


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Provider Data Standardization Critical to Improving Inaccuracies

by Jacqueline LaPointe

A multi-disciplinary workgroup is calling for provider data standardization to ensure accurate provider information is available for connecting patients with providers, licensing providers, and paying...

Type of Provider Data Presented Influences Patient Volume, Choice

by Jacqueline LaPointe

Healthcare consumers who initially prioritized appointment availability when choosing a physician were four times more likely to select a physician based on provider data on quality performance and...

Provider Data Integrity Key to Directory Accuracy, Value-Based Care

by Jacqueline LaPointe

Providers and their payers oftentimes have a love-hate relationship. Payers boost the number of patients walking through physician office doors using provider directories as well as reimburse providers...

AMGA Supports 15% Limit for Medicare Advantage Encounter Data

by Jacqueline LaPointe

AMGA recently applauded CMS for further reducing the percentage of encounter data to be used to determine Medicare Advantage enrollee risk scores from 25 percent in the proposed rule to 15 percent in...

CMS: Providers Need Data Access for Value-Based Reimbursement

by Jacqueline LaPointe

Value-based reimbursement success rests on providing clinicians with convenient and increased access to meaningful data, the leaders of the Office of the National Coordinator (ONC) and CMS stated in a...

HHS Sec. Burwell Shares Vision for Value-Based Care Future

by Jacqueline LaPointe

In a recent Health Affairs blog post, HHS Secretary Sylvia Mathews Burwell called for value-based care progress after the Obama administration ends through more alternative payment models, care delivery...

Open Payments Data Filled With Spelling, Other Errors

by Ryan Mcaskill

A  number of spelling and reporting errors were found throughout the open payments data website. In September 2014, the Centers for Medicare & Medicaid Services released the first round of Open...

Diagnosis Code Confusion Leads to Medical Billing Errors

by Ryan Mcaskill

Several hospitals across the country miscoded Kwashiorkor, resulting in Medicare overpayments. For medical billing to be accurate, it is critical for practitioners to code every procedure and disease...

CMS updates Health Plan Identifier system

by Elizabeth Snell

The Centers for Medicare & Medicaid Services (CMS) announced earlier this week that its Health Plan and Other Entity Enumeration System (HPOES) has been updated with new functionality. Now, HPOES...