Clinical documentation integrity (CDI) professionals work in a variety of settings, and although I mostly focus on topics related to hospital inpatient billing, this week I want to focus on diagnosis coding related to risk adjustment within Medicare Advantage (MA) plan payments. Enrollment in MA has surpassed that of traditional
EDITOR’S NOTE: AI-assisted editing tools were used only for proofreading and language refinement; all analysis, interpretation, and conclusions reflect the author’s original work. Artificial intelligence
This past weekend we “fell back” and gained that extra hour. This makes it a good time to look at how we assign codes for
As the federal government shutdown drags into its fifth week, the collapse of key safety-net supports such as nutrition benefits, health-insurance subsidies, and the disruption
With so much focus within the federal government on abuse, fraud, and waste, I thought it might be helpful to review a couple of federal
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