Articles for June 30, 2016

CDI Strategies - Volume 10, Issue 28

A Note from the ACDIS Director: Risk Adjustment is the new mantra for CDI, and we’ve got you covered with a new boot camp

June 30, 2016
ACDIS Guidance, CDI Expansion, Clinical & Coding

One size does NOT fit all when it comes to health insurance. Beneficiaries range from the extremely healthy 65-year-old—the poster child for “65 is the new 45”—to a 65-year old suffering from COPD from a lifetime of smoking, cancer, and a hereditary condition such as Type 1 diabetes. The result...Read More »
CDI Strategies - Volume 10, Issue 28

News: AHA comments on inpatient payment proposals for FY 2017

June 30, 2016
Clinical & Coding, News

The American Hospital Association (AHA) is concerned about the documentation and coding reduction, changes to disproportionate share hospital (DSH) payments, and the implementation of many of CMS’s quality programs detailed in the CMS IPPS Proposed Rule for Fiscal Year (FY) 2017, according to a ...Read More »
CDI Strategies - Volume 10, Issue 28

News: AHA releases results from RACTrac for first quarter 2016

June 30, 2016
Clinical & Coding, News, Quality & Regulatory

Recovery Auditor medical record requests and automated and complex denials all fell slightly in the first quarter of 2016, as did the average number of medical record requests per hospital, which decreased slightly since the fourth quarter of 2015, according to the latest RACTrac report...Read More »
CDI Strategies - Volume 10, Issue 28

News: CLFS final rule introduces new reporting requirements, payment methodologies for labs

June 30, 2016
Clinical & Coding, News, Quality & Regulatory

CMS issued a final rule last week to revamp the way it pays for tests under the Clinical Laboratory Fee Schedule (CLFS). Now starting January 1, 2018, CMS will base CLFS payments on the weighted median amount paid by private payers for the same services.  Providers are hopeful that these new...Read More »
CDI Strategies - Volume 10, Issue 28

Tip: Manage and track physician advisors’ time to balance competing priorities

June 30, 2016
Physician Queries, Education

Physician advisors serve a variety of purposes beyond documentation improvement, including assisting case management, utilization review, quality, and coding departments, among other assignments, according to a recent benchmarking report and survey from ACDIS.Read More »
CDI Strategies - Volume 10, Issue 28

Q&A: CKD relationship

June 30, 2016
Clinical & Coding

Q: The coders at my facility have stated auto linking congestive heart failure (CHF), hypertension (HTN), and chronic kidney disease (CKD) to the combination code without any documentation of CHF “due to” HTN. There is no documentation of hypertensive heart disease anywhere in...Read More »
CDI Strategies - Volume 10, Issue 28

Local Chapter Update: Collaborating across the continuum

June 30, 2016
ACDIS Guidance, News

On Thursday, July 28, in Holyoke, Massachusetts, CDI and coding professionals from across the New England region will join together for a full-day educational event. On the agenda are sessions about engaging physicians in CDI, a panel discussion featuring documentation improvement from both the...Read More »
CDI Strategies - Volume 10, Issue 28

Survey: Physician advisor education needs

June 30, 2016
Education

ACDIS is seeking feedback on your physician advisor training needs. Please take a moment to answer a short 5-question survey to help us learn what would best serve your needs. Click here to take the survey.Read More »