CSIWORKS

No Degree, No Problem Risk Adjustment Coding: Do I Need a Healthcare Background to Excel? As the demand for risk adjustment coders continues to surge, there is a burning question on the minds of many aspiring professionals – is a background in healthcare a prerequisite for excelling in this field? A growing interest in flexible career opportunities has sparked this search, and answers surrounding the necessary qualifications and potential benefits that this profession holds.   Contrary to popular belief, one does not need previous healthcare experience to start the process of becoming a risk adjustment coder, or even a college

Navigating Risk Adjustment Trends in 2024 What You Need to Know Healthcare is in a constant state of flux. Often seen as a business “follower”, healthcare tends to wait for other industries to be disruptors and risk takers. The industry evolves in response to external influences, future estimations, inflation, and disease processes (cue COVID). The year 2023 brought a digital transformation, artificial intelligence (AI), and increased margin pressures. As we move into 2024, risk adjustment will be marked by the introduction of new payment methodologies, a thriving job market with a demand for skilled professionals, and further advancements in technology.

2024 FOURcast: 4 priorities for Healthcare Organizations In the ever-changing landscape of healthcare, organizations face many challenges. To succeed, they must prioritize myriad initiatives that directly impact operations, efficiency, and patient care. Let’s explore four mission-critical priorities that healthcare organizations must focus on to navigate these challenges and drive success.  Priority 1: Addressing Resources and Staffing  Contending with staffing shortages is essential for healthcare organizations. Whether in clinical, IT, or administrative positions, staffing shortages drain organizational resources through constant onboarding, retraining, and lost productivity. By implementing robust steady state training programs and exploring managed service solutions, organizations can ensure consistent

Physician Documentation and Code Assignment Setting the Foundation for a Successful 2024 It’s no secret that the Evaluation and Management (E/M) guidelines have an impact on reimbursement. Assigning the appropriate E/M code is a must in any clinic setting. It sets the stage for financial stability. As more physicians join large practices, implement electronic health records (EHR), or become part of facility ownership, avoiding loss of revenue becomes more critical in today’s complex healthcare environment. In 2020, the Centers for Medicare and Medicaid Services (CMS) revised code descriptors and documentation standards to alleviate administrative burdens. The 2023 Current Procedural Terminology

Martin Luther King Jr Day 2024 Make it a Day on, Not a Day off Martin Luther King Jr. Day is a national holiday, and it is a time for us to reflect on Dr. King’s life and legacy. One of the most important aspects of his legacy that we should remember is his generosity and community service. Dr. King once said, “Life’s most persistent and urgent question is, ‘What are you doing for others?’” He believed that service to others is an essential part of our humanity and that we must strive to build a better world through service

Setting Goals and Intentions for the New Year As the year draws to a close, it’s the perfect time to reflect on the past year’s accomplishments, challenges, and growth. It’s also a time to look ahead and set goals and intentions for the upcoming year. Let’s make this your most successful and fulfilling year yet!  Celebrate Your Achievements Reflect on the milestones and accomplishments you achieved throughout the year. Celebrate successes, big and small, and acknowledge the hard work and dedication these accomplishments took. Consider how each achievement aligns with your values and the goals you set for the past