CDI Strategies - Volume 5, Issue 24

News: CMS to hold ICD-10 implementation provider call

November 10, 2011
News

CMS will host a National Provider Call on Thursday, November 17, 1:30-3 p.m. (ET) regarding ICD-10 implementation strategies. The call will feature presentations by the four cooperating parties: CMS, the American Hospital Association (AHA), the American Health Information Management Association...Read More »
CDI Strategies - Volume 5, Issue 24

News: Value-based payment modifier details released

November 10, 2011
News

On November 1, CMS issued its Medicare Physician Fee Schedule (MPFS) for calendar year 2012. In it, CMS details the new “value-based payment modifier,” according to a Fact Sheet on the matter.

The “Value...Read More »
CDI Strategies - Volume 5, Issue 24

News: CMS releases final rule governing ACOs

November 10, 2011
News, Quality & Regulatory

On October 20, CMS released its long-awaited final rule governing accountable care organizations (ACO), with major concessions to the original plan that had soured many healthcare leaders and physicians against participating....Read More »
CDI Strategies - Volume 5, Issue 24

Tip: Monitor diagnoses targeted for readmission reduction

November 10, 2011
Quality & Regulatory

Coders and CDI specialists need to understand the implications coding and sequencing may have on readmissions data and cohort selection, says James S. Kennedy, MD, CCS, managing director at FTI Consulting in Atlanta and a member of the ACDIS advisory board.

Kennedy’s admonition...Read More »
CDI Strategies - Volume 5, Issue 24

Q&A: Post-surgical complication of encephalopathy

November 10, 2011
Ask ACDIS

Can a patient have encephalopathy after a surgery? For example, a patient post surgery becomes confused and ends up being transferred from the medical/surgical floor to the ICU and began receiving high doses of pain medication via IV. However, the patient recovers well and the confusion...Read More »
CDI Blog - Volume 5, Issue 23

Guest Post: Identify sequencing challenges

June 6, 2012
ACDIS Guidance, Clinical & Coding

by Glenn Krauss, RHIA, CCS, CCS-P, CPUR, C-CDI, CCDS

Sequencing is a challenge, particularly when two conditions meet the definition of principal diagnosis but only one justifies medical necessity for admission. Many CDI professionals don’t consider the major role sequencing...Read More »
CDI Strategies - Volume 5, Issue 23

Director's Note: ACDIS Advisory Board nomination period open

October 27, 2011
ACDIS Guidance

We are currently seeking four new ACDIS members to join our advisory board in 2012. ACDIS advisors are important, volunteer positions that help shape the direction of the association and provide leadership and expertise for the membership. The term of service is a maximum of three years....Read More »
CDI Strategies - Volume 5, Issue 23

News: Maryland facility faces $8 million fraud charges for Kwashiorkor billing

October 27, 2011
News

The Department of Health and Human Services and the Department of Defense accused Baltimore-based Kernan Hospital, a part of the University of Maryland Medical System, of inappropriately billing “protein malnutrition” as “kwashiorkor”—a $1.6 million potential error that could ultimately cost the...Read More »

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