by Glenn Krauss, RHIA, CCS, CCS-P, CPUR, C-CDI, CCDS
From the perspective of the hospital administration, the revenue cycle may be defined to include all administrative and clinical functions that contribute to the capture, management, and collection of patient service revenue. ...Read More »
Let me begin by saying that I want to thank you all for your participation in ACDIS over the course of 2009. ACDIS is in many ways still a small home-grown association, but we’re building a name in the industry. You, our valued members, have helped...Read More »
Some hospitals will start to receive Program for Evaluating Payment Patterns Electronic Reports (PEPPER) this month, according to TMF Health Quality Institute.
TMF contracts with CMS to produce the reports. State Medicare Quality Improvement Organizations previously produced and
Connolly Healthcare, CMS’ recovery audit contractor (RAC) for Region C, announced its first targets for complex review in December 2009. Connolly’s list of 24 DRGs is the first published, so it provides a good preview of what other RACs may target. The reviews were expected to begin in January...Read More »
Recently, we've received a few new questions. If you have experience with any of the topics in this article, please email Linnea Archibald at larchibald@acdis.org and she'll connect you to the asking Council...Read More »
Effective January 1, CMS stopped paying for the CPT codes physicians use to bill consultations. This dramatic change provides a window of opportunity for CDI specialists, who are well-positioned to not only break the bad news to physicians, but also provide them with education on how to...Read More »