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Optimizing Revenue Cycle Management and Clinical Documentation Integrity To Avoid Coding Disasters

Relias

This causes gaps in communication between the physician and the coder,” said Hess. Another case alleged that a health system defrauded the Centers for Medicare and Medicaid Services of $1 billion because doctors were pressured to add diagnosis codes to medical records that were nonexistent or unrelated to the visit.

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Skin failure: A historical perspective

American Nurse

Skillful communication and empathy can help prevent litigation. In terms of regulation and reimbursement , regulators and payors, such as the Centers for Medicare and Medicaid Services, still penalize acute care facilities for hospital-acquired pressure injuries. An NPIAP White Paper. Prelude to death or practice failure?