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2023 Billing and Coding Changes: A Guide to this Year’s Policy Updates

Mikki Fazzio, RHIT, CCS

Content Integrity Consultant, Principal

Healthcare organizations are accustomed to starting each new year with changes to billing and coding policies. However, in 2023 providers and suppliers are finding that some updates need extra clarity. Guidelines on the recent updates will help providers create consistent processes to reduce errors and reimbursement delays.

ICD-10 Codes: Need-to-Know Updates Coming in April 2023

Mikki Fazzio, RHIT, CCS

Content Integrity Consultant, Principal

The Centers for Medicare & Medicaid Services has released its latest updates to the Clinical Modification (ICD-10-CM) system and the International Classification of Diseases, 10th Revision, Procedure Coding System (ICD-10-PCS). Effective April 2023, healthcare leaders will have 42 ICD-10-CM and 34 ICD-10-PCS additions to navigate.

Two Ways ACOS Can Optimize Data Sharing for Better Care Coordination

Different entities within an ACO need access to the same patient information to coordinate around delivering better patient care at lower costs. Despite this clear need for data sharing, organizations face common barriers, including patient confidentiality, cumbersome processes, and legal and compliance considerations. However, ACOs can overcome these barriers with a team mindset and robust data infrastructure. A teamwork approach aligns each system’s goals more closely, ensuring the entire ACO prioritizes patients and their data as the key to better care coordination. Next, organizations need to invest in advanced technologies, including a data platform that easily aggregates and securely distributes patient information to the right people at the right time. These two changes—working together and supporting data-sharing tools—elevate ACO performance and care coordination

Improving Transitional Care Management – A Five-Step Framework

KimSu Marder, RN, CCM

Lead Care Manager

Research indicates that one in five readmissions could have been avoided with proper transitional care management (TCM). Given that Medicare readmission costs amount to $2.6 billion each year, decreasing readmissions through transitional care management is a priority for healthcare organizations. This article details a five-step framework that healthcare organizations can follow to set up successful TCM programs.The framework emphasizes early, proactive care management that integrates hospital efforts with long-term care needs, home care, and other community resources. Once discharge occurs, it’s often too late to put care transition measures in place, resulting in higher readmission rates and higher healthcare costs.

How to Improve Health Equity Through Patient Engagement Technology

Melissa Welch, MD

Chief Medical Officer

Healthcare leaders discuss how they use digital patient engagement technology to bridge care disparities and reduce the burden of health inequity. This article shares strategies for building trust through technology and gaining organizational buy-in for a successful launch.

HIE 3.0: A Turning Point for HIE Business Models

HIEs juggle many priorities to improve their technology platform for better data quality. When HIEs support a broader audience and address gaps in clinical pathways, they can become the preferred access point for population health analytics, quality measure reporting, and health equity strategies.

Why Digital Therapeutics and Patient Engagement Strategies Are a Must-Have for LSOs

Life sciences organizations develop meaningful digital therapeutics (DTx) that reach rural communities, treat common chronic diseases, and connect patients to providers through technology that supports clinical journeys. This article shares how incorporating digital engagement tools drives the continuous use of DTx for equitable healthcare.

Labor Shortage: Why You Need the Right Labor Management Partner Now

Healthcare organizations are facing a double-sided labor crisis: a severe labor shortage and rising labor costs. Learn how they can optimize their use of current resources and gain detailed insight into operations and pinpoint interventions aimed to decrease expenses.

A Healthcare Worker Shortage Action Plan: Short-Term Wins and Long-Term Strategy

Dan Unger

Senior Vice President and General Manager, Financial Transformation Business

Dan Hopkins

Professional Services, VP

John Hansmann, MSIE, LFHIMSS, DSHS

Professional Services, VP

U.S. health systems will have a projected deficit of 200,000-450,000 RNs by 2025. Meanwhile, hospital labor costs have reached almost 50% of an organization’s overall expenses. Now more than ever, leaders need a data-driven labor management strategy that ensures the most cost-effective, high-quality care.

Back Together Again: HAS 22 Top Data Discoveries and Insights

Skim highlights of the HAS 22 healthcare analytics event organized around the theme, “Embracing the Human Side of Healthcare Analytics.” This easy-to-digest infographic highlights the summit’s award winners and top data insights.

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