Seth Anthony

Why Healthcare Providers Need to Develop Organizational Intelligence, Part 1: Defining Organizational Intelligence

This article is the first in a multi-part series discussing the concepts of organizational intelligence and their impact on healthcare providers. When you ask healthcare CEOs what their organization most needs, data is usually pretty high on the list. The desire for data across all organizations has grown exponentially during the last decade. It seems that every task and every job have a list of “KPI’s” and “metrics of success” attached to them. Now, more…

Understanding PDPM and HIPPS Coding

Health Insurance Prospective Payment System rate codes, known as HIPPS codes, represent specific sets of patient characteristics (or case-mix groups) on which payment determinations are made under several prospective payment systems (PPS). These HIPPS codes are reported on claims to insurers. The language of the Patient Driven Payment Model (PDPM) HIPPS coding is complex. The HIPPS code is only five digits however there are many combinations of those digits under PDPM. Once you understand what each digit…

The Benefits of a Liquid Workforce

I am an unabashed fan of podcasts. My weekly roundup includes nearly two dozen shows. I listen to them while I walk, while I work, and while I relax. It is certainly safe to say that I listen to more podcasts than I have ever watched television. One of my favorite series is “The Uncertain Hour.” It is an investigative journalism podcast, where the creators take a deep dive into topics impacting our society. The…