Our lives as CDI specialists revolve around largely repetitive work. Our time is spent on indicators, numbers, data, crunching and parsing opposing viewpoints. It’s safe to say that it isn’t exactly creating a piece of craftsmanship we can...Read More »
CMS and the OIG will conduct a two-part study to assess inpatient hospital billing due to unspecified upcoding in hospital billing—either accidentally or intentionally reporting higher severity codes than supported by documentation to increase payment.Read More »
Findings from a retrospective analysis of inpatient data recently shows that average hospital costs and mortality rates are significantly higher for patients diagnosed with sepsis after hospital admission when compared with patients...Read More »
The federal government has intervened in a lawsuit against Sutter Health, taking the side of a whistleblower who claims the nonprofit health system inflated the risk scores of Medicare Advantage plan enrollees to secure higher risk-adjusted payments.Read More »
Q: Our hospital system recently restructured our department and downgraded the staff level compensation (we were previously equal to a case manager level). How can I make a case for increasing our staff’s compensation again? I’ve already...Read More »
Earlier this year, ACDIS formed the Regulatory Committee with the stated purpose of reviewing regulatory policy, coding, and clinical updates, commenting to agencies on behalf of ACDIS and providing summary, interpretation...Read More »
The 2019 ACDIS Conference Committee has opened its call for achievement award nominations. Nominees should work closely with those nominating them in order to provide the most accurate information within the nomination forms and throughout the nomination process.Read More »
Much like concurrent CDI reviews, the concurrent coding process requires coders to follow the chart throughout the patient’s admission and code it at intervals.Read More »
