Coding an Acute Myocardial Infarction: Unravelling the Mystery

As ischemic heart disease continues to be the leading cause of death in the United States and worldwide, myocardial infarctions (MI) are frequently seen as reportable conditions when coding inpatient encounters. Lisa Romanello, RN, CCDS, CDIP, Director at Prism, co-authored a whitepaper offering an overview of the types of acute myocardial infarctions and their accompanying… Read More

6 things to know when preparing to implement outpatient CDI

As healthcare services migrate from inpatient to outpatient settings, a greater portion of most health systems’ revenue is tied to clinical care — and thereby the clinical documentation — performed in the ambulatory space. Yet few organizations have implemented consistent documentation practices throughout their enterprises. Laura Jacquin, RN, Partner at Prism, shared with Becker’s Hospital… Read More

Review Coding for HCCs

Mastering Hierarchical Condition Categories (HCC) is key to success under new reimbursement methodologies that rely on risk adjustment, quality, and value metrics such as the Quality Payment Program (QPP). In the November issue of HIM Briefings, Prism Partner Laura Jacquin, RN offers insights and strategies for organizations to consider for mastering HCCs.

Guiding outpatient clinical documentation improvement

As patient care continues to move from the inpatient setting to outpatient, the challenge of securing comprehensive documentation that articulates the services rendered and the patient care provided now needs to extend across the care continuum. In the October issue of HIM Briefings, Prism Partner Laura Jacquin offers strategies for organizations to consider when implementing… Read More

Plateau Busting: Transforming a CDI Program to Optimize Quality and Revenue

Finance leaders, physicians, and clinical documentation specialists can partner to build an effective clinical documentation improvement initiative. In the latest issue of hfm, Prism Partner Laura Jacquin and client UHS share how the health system developed a CDI program that resulted in substantial ongoing payment gains, and how other providers can do the same through… Read More

Clinical Validation and the Role of the CDI Professional

Accurate medical coding is important now more than ever. Payers rely on codes to measure the quality of care provided to their beneficiaries, and coded data is also used to validate the medical necessity of rendered services. CDI specialists are uniquely positioned to unify efforts to report claims data that accurately reflects the clinical scenario… Read More

The healthcare executive’s 2-minute read on priorities for 2017: Revenue cycle and clinical documentation improvement

Becker’s Hospital Review connected with thought leaders at Prism Healthcare Partners on the most pressing issues in revenue cycle and clinical documentation improvement (CDI) for hospital and health system executives to address in 2017. Laura Jacquin and John Storino weigh in on top areas to achieve significant and lasting impact, including patient access, leveraging resources… Read More