Defining HIE (Health Information Exchange) – Why is it beneficial?

medical file roomNot so long ago, before the health information exchange, sitting in a waiting room at a doctors’ office there would be patients nervously clutching huge files of paperwork ready to show the doctor. This was their life in terms of health care and it was up to the doctor to decipher the seemingly endless array of medications taken or surgeries performed. Continue reading

RAC Fraud or just lack of training?

auditIn 2003, Congress created the Recovery Audit (RAC) program to help the Centers for Medicare and Medicaid Services (CMS) find and recover improper payments made by providers of Medicare and Medicaid. It took years, but it was finally implemented nationwide in 2009. Since then, the Recovery Audit program has been under some scrutiny, some calling it a witch hunt and others actually calling it RAC Fraud.

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Medical Record Coding Audit Services in Chicago

When you need reliable, medical record coding audit services in Chicago, turn to Chicago-based Professional Dynamic Network to assist with standardized audits, compliance for government Medicaid and Medicare audits, RAC audits, internal auditing or for assistance with correct ICD-10 coding implementation and auditing protocols. Continue reading

Health Information Exchange Benefits

In the eyes of expert healthcare professionals, health information exchange benefits result from a system that establishes electronic mobilization of healthcare information over different organizations that are connected within a hospital, community or regional healthcare system. Continue reading

ICD Medical Coding – An Introduction

medical codesICD medical coding services has been the standard for efficient medical billing, medical information exchanges, and medical statistical collaboration in the field of health and medicine.

An acronym for International Classification of Diseases, ICD is a type of comprehensive medical classification that is officially published by the World Health Organization. It traces its roots back to as early as the 1990s wherein the first official version of ICD – erstwhile known as The International List of Causes of Death – was released. To date, ICD has achieved its tenth revision and is now commonly known as ICD-10. Continue reading

HIPAA Coding – Medical Records Coding Privacy and Security

hipaaHealth Insurance Portability and Accountability Act (HIPAA) protocols regulate the information and transmission of patient health records data. This system requires healthcare providers to implement data security measures so they fulfill the regulations from the government, prevent any kind of theft of any information stored on the healthcare record, and guarantee patient privacy. Continue reading