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Preparing for CERT Audits and Practicing Compliant Documentation

EvidenceCare

This comprehensive guide provides hospital and revenue cycle leadership with vital insights on preparing for CERT audits and establishing processes for compliant documentation. This section delves into the specific criteria and expectations set by CERT audits, emphasizing the need for meticulous attention to detail and documentation accuracy.

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Upcoming ICD-10 Code Changes for October 1, 2024: What You Need to Know 

Health Prime

These 2025 ICD-10-CM updates are to be used for discharges and patient encounters from October 1, 2024, through September 30, 2025. These changes will impact medical billing, coding practices, and healthcare administration. Our team of experts is dedicated to ensuring that your practice stays ahead of the curve.

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How to automate your practice’s workflows to free up time & focus on your patients 

Health Prime

According to the 2021 Internet of Healthcare Report , 90% of healthcare executives said their organization relies on multiple systems for at least one process, including claims processing and clinical documentation. Revenue Cycle Management Revenue Cycle Management (RCM) refers to the entire medical billing process, from beginning to end.

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Healthcare Revenue Cycle KPIs You Should Monitor

Relias

The revenue cycle includes all processes from capturing a patient’s information to final billing and payment. “Oftentimes, we see revenue cycle treated as a department that sits on the back end with billing,” said Melissa Scott , director of advisory services at Change Healthcare. Code and charge accuracy.

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Understanding the PEPPER Can Reduce Home Health and Skilled Nursing Audit Risks

Relias

The PEPPER gives your organization a snapshot of your case mix, coding, and billing practices and compares you to other providers in the nation, Medicare Administrative Contractor jurisdiction, and state. A high percentage in a target area may mean an increased risk of improper billing that your agency needs to investigate.

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A ‘SEET’ at the Table: Managing the Four Drivers of Patient Experience

Walker Info - Patient Experience

In addition to direct encounters with doctors and nurses, document additional aspects of the journey like searching for a provider, setting appointments, navigating a healthcare campus, accessing follow-up records, paying a bill, or getting a prescription. No touchpoint is too small for inclusion.

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Why Care Coordination Is Important for Home Health and Hospice Agencies

Relias

Documentation in the medical record. Since agencies can’t bill for time that clinicians spend away from the front line, setting aside dedicated periods of regular care coordination may not happen regularly. As part of discharge planning. Document all coordination. If it didn’t get documented, it didn’t get done.”.

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