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The United States is becoming more of an active democracy. Saturday Night Live had a skit this weekend about conversations that will happen at parties after the pandemic is over. One of the themes of the sketch was that we wouldn’t have anything to talk about except how weird things…
May 6, 2021

Revenue is not a Goal; It is an Outcome

By John Zelem, MD
Providers should ask themselves five key questions to figure out how to get where they want to be. EDITOR’S NOTE: A version of this story appeared in ICD10monitor, May 4, 2021. In today’s healthcare world, it seems to be all about revenue. Hospitals and healthcare systems and all the other…
Impactful legislation is already in play with the interoperability and transparency initiatives. A client asked me last week what the Biden Administration’s agenda for the healthcare industry was – and what kind of healthcare legislation we think is going to make the biggest impact over the next few years. As…
April 22, 2021

Warning from the HHS-OIG Leadership on COVID-19

By Timothy Powell, CPA CHCP
The watchdog agency is warning of possible violations of the nation’s vaccination program. The U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently sent out a press release on COVID vaccination providers. In it, the OIG stated that: “All organizations and providers participating in the…
Aggressive CDI practices may account for at least some of their findings.  The U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) wrapped up its investigation into hospital upcoding in February. My first thought when I read the associated proposed plan turned to aggressive clinical documentation…
April 8, 2021

As Hospitals Locked Down, Others Have Been Locked Out

By Marie Stinebuck, MBA, MSN, ACM
Leading case management during COVID-19. Towards the end of the most recent COVID-19 surge, an employee working from home mentioned how isolated they felt, and how lucky I was to go into work every day. That sat with me for a minute before I responded, while also acknowledging how difficult…
The reality is that silos are everywhere, and they are not necessarily bad, but need to be managed. There are silos in all aspects of life, but most of the time we associate them with farming, as with the classic images of grain silos. The term is often used in…
Last week was a busy week for healthcare policy in Washington. About half the Democrats in the House co-sponsored and introduced a Medicare-for-all bill, bringing that policy proposal back into the headlines. While it has significant support, it is highly improbable the bill will get out of the House. For…