CDI

It’s Time to Revitalize Your CDI Program—The Why and How of BPCI

It’s Time to Revitalize Your CDI Program—The Why and How of BPCI Clinical Documentation Improvement (CDI) programs have experienced significant transformation over the last decade. Under the new MS-DRG (Medicare Severity-Diagnosis Related Group) system—a major driver for many hospitals and health systems to invest in CDI programs—capturing CC/MCCs (complication or comorbidity and major complication or comorbidity) became the focus. Many organizations that have implemented an MS-DRG focused review program have seen success, experiencing benefits in improved provider documentation and true…

Read More

Clinical Validation—Bridge the Gap Between Coding and CDI

Clinical Validation—Bridge the Gap Between Coding and CDI The importance of clinical validation in recent times has increased for obvious reasons. With the implementation of Electronic Medical Records (EMR), hospital and health systems continue to improve the documentation capture process within the medical record. The EMR has its benefits but sometimes there are inconsistencies found due to a chronic problem that exists amongst the provider community—to copy and paste from a previous encounter. Payers have used clinical validation to deny…

Read More

How the Recent CMS Update Will Impact Traditional Medicare Reimbursement with MACRA

How the Recent CMS Update Will Impact Traditional Medicare Reimbursement with MACRA At the beginning of February 2018, the Centers for Medicare & Medicaid Services (CMS) proposed raising Medicare Advantage plan payments by an average 1.84 percent in 2019. In a more recent announcement dated April 2, 2018, CMS proposed an increase in Medicare Advantage plan payments from the original estimated 1.84 percent to 3.4 percent based on improvements in data submissions. CMS is committed to strengthening the Medicare Advantage…

Read More
HCS CONSULTING

A consulting company providing solutions for Revenue Integrity to a diverse range of healthcare organizations nationwide. The company’s portfolio delivers quality solutions to empower healthcare organization success, enhance clinical and financial outcomes, and enable the transition to value-based healthcare.

Location

2909 West Bay to Bay Blvd., Suite 500
Tampa, FL 33629
813-324-2107

Compliance Report Line:
813-369-5165
Click Here To Send Mail

Map

Contact Us