Posts by Norwood Staffing
Outpatient CDI Specialists (especially with CCDS-O certification) Are in Demand
By Brian Murphy Where are all the CCDS-Os? That’s Certified Clinical Documentation Specialist—Outpatient. Outpatient CDI and risk adjustment are exploding. I know this because our clients are building and expanding their programs, and on the hunt for individuals possessing this rare credential. Of which there’s only a few hundred operating in the wild. You want…
Read MoreGetting Comfortable With Risk: A Conversation with Crystal May
Listen to the episode here: https://spotifyanchor-web.app.link/e/Oyrv1reDKKb It’s often been said that the only constant in life is change. And the mid-revenue cycle is no exception. As new regulations emerge and new technologies develop, professions get radically transformed—or even erased altogether. The antidote is a commitment to lifelong learning, and embracing the discomfort that accompanies growth.…
Read MoreStart Your Journey with the Norwood Outpatient CDI Boot Camp
Our campers are all smiles. To learn more or schedule a call contact us at info@norwood.com. Download the brochure here. Risk adjustment is a team sport. Accurately depicting the complexity of a broad patient population across your organization requires contributions from patient registration to providers—and everyone in between, including well-trained risk adjustment coding and…
Read MoreSolutions Spotlight: OIG Toolkit a Valuable Blueprint for Risk Adjustment Coding Compliance
By Brian Murphy The OIG Toolkit To Help Decrease Improper Payments in Medicare Advantage Through the Identification of High-Risk Diagnosis Codes is a valuable tool in your compliance arsenal. One you should be using if you’re at all involved with risk adjustment. What is the Toolkit? The toolkit offers Medicare Advantage Organizations (MAO) information that…
Read MoreFive Emerging Mid-Revenue Cycle Roles
By Brian Murphy New job functions will be needed to meet the changing nature of healthcare delivery and reimbursement. And soon. Here are five. These are my predictions but I feel good about them. Note: Many/most of these exist in some form or fashion now, but I believe the demand will grow, and explain why.…
Read MoreTry a “yes, and” approach when changing provider documentation habits
I love this “yes, and” approach recommended by my current Off the Record podcast guest, Kalee Vincent. Many physicians prefer (and need, for quality reporting purposes) the New York Heart Association (NYHA) Classification for their heart failure patients, for example. But CDI needs acuity and type to satisfy hospital coding and billing. Instead…
Read MorePayers turning to clinical validation to ignore coding guidelines, deny claims
By Brian Murphy Clinical validation audits are on the rise and among the chief causes of claims denials, per my current Off the Record podcast guest Richelle Marting, JD, MHSA, RHIA, CPC, CEMC, CPMA, CPC-I. While denials are payer-agnostic, Marting says that Medicare Advantage Organizations have risen to the top of worst offenders.…
Read MoreNo one will hire a CPC-A, or a coder without experience? Think again
By Brian Murphy “Nobody will hire a CPC-A.” “Nobody will hire without experience.” My recent guest on Off the Record, Revka Stearns, describes these oft-expressed statements as not factual. And rightly so. If they were, no one new would ever be hired. Which of course cannot be the case, and is not…
Read MoreClinical (and career) validation: Richelle Marting on legal aspects of HIM, CDI
Listen to the episode: https://spotifyanchor-web.app.link/e/FV3hTItIZJb Earning your RHIA (Registered Health Information Administrator) is a huge accomplishment, and for some marks the end of a four-year academic journey and an entry into HIM. For Richelle Marting, it was only the beginning. In pursuit of her RHIA, which she eventually earned, my guest on today’s episode took…
Read MoreHCC Best Practice Advisory (BPA) Alerts a Hot Topic in Compliant Condition Capture
By Jason Jobes, SVP, Norwood Solutions HOT TOPIC QUESTION: Are you using Epic HCC BPAs (or similar tools) and are you worried about their appropriateness or compliance? DISCLOSURE: Norwood does not possess/sell any technology that competes with use of the Epic BPA or currently partner with organizations that have similar functionality. This question is aimed…
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