Case Management and Capacity Building to Enhance Hepatitis C Treatment Uptake at Community Health Centers in a Large Urban Setting.

An estimated 4.1 million people in the United States are infected with hepatitis C virus (HCV). In 2014, the Hepatitis C Community Alliance to Test and Treat (HepCCATT) collaborative was formed to address hepatitis C in Chicago.

Preparing for the true risks of ICD-10.

Rice Memorial Hospital assessed its financial risk posed by the transition to ICD-10 by reviewing records, analyzing subsets of claims in all risk categories, and ten-coding at-risk claims to identify documentation deficiencies. An important step was an in-depth review and validation of the original ICD-9 coding and resulting DRG assignment for each of the 250 inpatient medical records included in the assessment. Through the assessment, Rice Memorial identified opportunities for clinical documentation improvement (CDI) and developed a CDI road map.

An ounce of (pre-bill) prevention is worth a pound of (claims) cure.

Optimal revenue cycle health depends in part on effective eligibility and coverage verification, chargemaster maintenance, charge capture and documentation, and clinical soft coding. With appropriate technology, knowledgeable staff, and efficient processes, hospitals can "diagnose" their revenue cycle health.