At a confidential agency briefing in August 2010, CMS officials outlined steps to recover more than $128 million in alleged 2007 overpayments from five Medicare Advantage insurer...Read More »
About 41% of CDI programs currently review medical records for quality improvement items, according to an online ACDIS membership poll. Although CMS implemented the VBP reimbursement model as required by the Affordable Care Act (ACA) in 2011, many CDI programs have only recently started...Read More »
Q: I can't distinguish between "code first" and "in diseases classified elsewhere.” Both are used with manifestations and both can't be sequenced as principal diagnosis, and both need etiology codes so what is the difference?
A number of inpatient prospective payment system changes in recent years, due primarily to the Affordable Care Act, have allowed CMS to adjust healthcare reimbursement based on quality metrics and data. But some providers are unaware that many quality scores for themselves and hospitals are...Read More »
Call it a no-brainer but recent research shows a “strong association” related to “clinically validated” patient safety indicators (PSIs) and patient outcomes such as increased length of stay and high rates of hospital readmissions and mortality. It is a no-brainer because PSIs are a set of...Read More »
Nearly 60% of patients say that online reviews matter to them when choosing a physician, according to a study conducted by the Journal of the American Medical Association (JAMA) in 2014. However, the scope and usefulness of those online reviews are limited, according to a study conducted by JAMA...Read More »
We invite you to nominate a colleague for the 2017 ACDIS Achievement Awards, someone who has made significant contributions to the CDI field, who makes a difference in the profession, or is an outspoken advocate of CDI. We are accepting nominations until Friday, February 3, 2017. (To submit a...Read More »
Mortality reviews are becoming more prevalent in the CDI world. But what do they really mean for CDI specialists? Some organizations have mortality review committees, but such reviews don’t always fall under CDI; they could be managed by the quality...Read More »