Change Healthcare today announced that it is collaborating with Health Fidelity to offer a risk adjustment solution that embeds natural language processing (NLP) and machine learning technology into its risk adjustment coding offering to help Medicare Advantage, ACA commercial, and Medicaid payers increase claim accuracy and better address compliance obligations.How AI Can Transform Risk AdjustmentIn today’s value-based environment, health plans are under mounting pressure to submit
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R1 Expands Physician Practice Footprint with CarePoint Health and Holston Medical Group
Hatred of billing and payment processes is a time-honored tradition in healthcare. Two of the biggest reasons it’s so frustrating as a patient are the lack of transparency and digital elements that we expect out of any typical consumer experience. R1, a provider of technology-enabled revenue cycle management (RCM) services is working to change this, announcing today its continued expansion into the physician practice market with the addition of CarePoint Health, one of the largest privately-held
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Ciox Launches Learning Platform to Train/Assess Medical Coders
Health technology company Ciox, today launches a platform designed to train and assess medical coders, equipping coders with vital education and development opportunities in an academic setting or on the job. Named Ciox HealthSource Gym, it’s a SaaS platform that provides an engaging learning environment of data-rich training and practice scenarios to optimize coding performance.The module sits on top of Ciox’s HealthSource, a clinical data platform that uses the latest interoperability and
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Western Maryland Health Taps Artifact Health to Streamline Physician Query Process
Western Maryland Health System has selected Artifact Health, a mobile platform that streamlines the physician query process to make it fast and easy for physicians to answer queries that improve the quality of patient records, ensure full reimbursement for services, and increase collaboration between clinical documentation improvement (CDI) and coding staff.With the implementation of Artifact Health’s mobile query platform, WMHS physicians can respond to a query compliantly in under a minute
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TruCode and CPSI Integrate to Improve Workflow and Coding Accuracy
Medical coding software provider TruCode has announced a partnership with CPSI, a provider of healthcare solutions for community hospitals and post-acute care facilities nationwide. As part of the partnership, TruCode Encoder will integrate seamlessly with both the Evident and Healthland EHR offerings to streamline coder workflow, boost productivity, and improve coding accuracy.TruCode’s knowledge-based approach to coding is based on its renowned Intelligent Research Pane, which acts as a
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10 Ways to Make EMR Meaningful and Useful
Written by Rob Lamberts, MD providing his thoughts on 10 ways to make EMR meaningful and useful
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4 Lessons Learned from HIPAA 5010 That’ll Benefit Your ICD-10 Project
Written by Steve Sisko shares 4 lessons learned from HIPAA 5010 that will benefit your ICD-10 project
It’s a fact: ICD-10 has far more impact and involves far more change to people, processes and technology than HIPAA 5010. I’m of the opinion that much of the work expended and artifacts created during a HIPAA 5010 project - particularly test plans and test cases - will not lend direct value to an ICD-10 project. But I’m convinced that many organizations learned are a lot of 5010 lessons that
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CMS Announces Re-Examination of Timeline for ICD-10 – Is the Pressure Off?
The following is a guest post from Doug Hires, Partner, Consulting & Advisory Services at Santa Rosa Consulting, Inc. on the possible ICD-10 timeline delay.
Many of you have likely read or heard this week that the acting CMS Administrator, Marilyn Tavenner, announced to the press following an AMA Advocacy Conference that CMS will "re-examine the timeframe" through a rulemaking process. She did not say when that rulemaking process will begin but said that CMS would send details about the
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Interview Podcast: ICD-10 Best Practices with Connie Tohara Vol. 2
October 1, 2013 is less than 2 years away leaving healthcare providers faced with the daunting task of making the transition from ICD-9 to ICD-10. Many organizations have already started to prepare for the implementation while the majority have not begun any preparations until the deadlines looms closer. HIT Consultant recently spoke with Connie Tohara, Director of Health Information at University of Utah Hospital and Karen Ferrell, Director, Computer-Assisted Physician Documentation (CAPD)
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Video: Why Everyone in Your Practice Needs Basic Medical Coding Training
In this new video podcast, Lyndsey Coats of Nuesoft speaks with Mary Pat Whaley, FACMPE, owner of Manage My Practice, LLC about the importance of education in medical coding and awareness for all members of the medical practice. Medical practices can be silos of duties and job descriptions, but to provide high-quality patient care those silos should be torn down (to a degree) so administrators, billers, nurses and doctors alike can come together and share knowledge. In this podcast we will
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