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AHIMA and AAHAM Conference Round Up

Summary of the 2023 AHIMA and AAHAM Annual conferences

November 2023

By Adam Abramowitz, Senior Manager, Sales and Marketing 

CBIZ KA Consulting Services exhibited at the AHIMA (Baltimore) and AAHAM (Los Angeles) annual conferences in October. The AHIMA conference in particular showed robust attendance growth over 2022 and it was great to see a full convention hall.

Despite the differences in professional disciplines of the attendees (coding and information management at AHIMA and patient administration at AAHAM), both groups were concerned about denials and appeals.

CBIZ had numerous conversations with attendees regarding DRG Downgrade appeals. As payers increase the velocity of these downgraded claims, many hospitals are struggling to respond in a timely manner. In addition to timeliness concerns, several attendees were seeking a more comprehensive denials strategy:

  • Which claims should be appealed and why?
  • What can be done to reduce these downgrades moving forward?

We welcomed the opportunity to discuss our approach to DRG Downgrade appeals, which combines both a clinical and coding review. This approach has resulted in significant recoveries for our clients.

Another topic of discussion was Medicaid eligibility at the AAHAM conference. We spoke with hospitals and healthcare systems regarding full Medicaid eligibility outsourcing, assistance with out-of-state eligibility, and other possibilities, such as helping with high-dollar claims. CBIZ’s 25+ years of Medicaid experience coupled with our VEC platform has allowed us to assist hospitals with these needs, either onsite or remotely.

An evergreen topic that was discussed at the AHIMA conference was coding audits. We had conversations with attendees about inpatient, professional, outpatient and behavioral health coding audits. We also spoke about coder evaluation audits. CBIZ emphasized our commitment to performance improvement and education as part of our audits with all of our auditors on-staff and U.S.-based.

If you have any questions about these services or would like more information, please contact Adam Abramowitz at [email protected] or at 609-220-5627.

Copyright © 2023, CBIZ, Inc. All rights reserved. Contents of this publication may not be reproduced without the expressed written consent of CBIZ.