Buckle up, it’s almost HEDIS season; that time of year when charts are flying and deadlines are looming. For many, it feels like a rollercoaster of data pulls, documentation reviews and compliance checks. But for HIM teams, you’re not just along for the ride—you’re in...
ICYMI: RADV audits are undergoing a massive overhaul, and if your organization provides care to any Medicare Advantage members, here’s what you need to know. Risk Adjustment Data Validation (RADV) audits are nothing new to healthcare organizations. Overseen by the...
Because acronyms are fun—especially when they come with deadlines. HIM professionals are no strangers to audits, but when you’re in the weeds managing deadline after deadline, they can start to look like alphabet soup. (HEDIS, MAC, RAC, QIO… you get the idea.) With...
With 2024 coming to a close and January on the horizon, there are a few things we all expect to see: Instagram selfie collages, Spotify Wrapped playlists and debates over the best movie to watch while dismantling your holiday decorations. If you wanted to know what...
Release of information and audits are often thought of separately. While release of information requests can come from many sources (like patients, providers, third parties and more), audit requests typically come from one source: payers. This difference, along with...
All HIM leaders know what it’s like to dread medical record audits. With requests often flooding in hundreds of thousands at a time, it’s no wonder why you may be tempted to let payers and auditors handle the requests themselves. This could be done by having an...
This blog will explore the different types of medical chart audits (spoiler: sometimes an audit is not actually an audit at all) and the potential impact on your organization. We’ll also share some key considerations for ensuring you stay compliant while responding to audit and chart review requests.
AUDIT REQUEST SEASON IS IN BLOOM While healthcare audits can happen all year round, there's a notable high season for requests every spring. And when you're already dealing with everyday administrative responsibilities like staff training, digital health information...
Tell us a little bit about yourself, and we’ll match you with the right expert to help you optimize your patient information.