Articles

CDI Strategies - Volume 15, Issue 32

News: OIG investigates Aetna in its latest round of audits

August 12, 2021
Denials & Appeals, News

Following a report from the Office of Inspector General (OIG) earlier this year showing an increase of Medicare billing for high-level inpatient stays over the past six years...Read More »
CDI Strategies - Volume 15, Issue 32

Q&A: A GMLOS primer

August 12, 2021
Ask ACDIS, Clinical & Coding

I’ve heard that the geometric length of stay (GMLOS) is always rounded to the nearest whole number as inpatient claims are paid by day. Based on my understanding of the inpatient prospective payment system (IPPS), I thought that each inpatient stay is paid by a fixed amount, regardless of the...Read More »
CDI Strategies - Volume 15, Issue 32

ACDIS update: Special offer for ACDIS PRO and 2022 Pocket Guide preorder

August 12, 2021
Education

For a limited time, ACDIS is offering FREE admission to the Clinical Documentation Integrity Boot Camp Online with the purchase of ACDIS PRO or pre-order of the...Read More »
CDI Strategies - Volume 15, Issue 31

News: VA to pause EHR implementations for at least six months

August 5, 2021
News

After a strategic review found a wide array of problems with the first go-live site, the Department of Veterans Affairs (VA) has paused implementation of its new...Read More »
CDI Strategies - Volume 15, Issue 31

News: FY 2022 IPPS final rule released

August 5, 2021
News, Policies & Procedures, Quality & Regulatory

CMS has released the fiscal year (FY) 2022 Inpatient Prospective Payment System (IPPS) final rule, finalizing its efforts to cushion the ongoing impact of the COVID-19...Read More »
CDI Strategies - Volume 15, Issue 30

News: 2022 OPPS proposed rule released, CMS backs off eliminating inpatient-only list, and increasing price transparency penalties

July 29, 2021
Clinical & Coding, News, Policies & Procedures, Quality & Regulatory

Less than a year after CMS finalized the three-year phaseout of the inpatient-only (IPO) list to be completed by 2024, the agency is looking to reverse course, according to the...Read More »
CDI Strategies - Volume 15, Issue 29

News: OIG releases Health Care Fraud and Abuse Control Program FY 2020 Report

July 22, 2021
Denials & Appeals, News

During fiscal year 2020, the federal government won or negotiated more than $1.8 billion in healthcare fraud judgements and settlements, according to the OIG’s fiscal year 2020 Health Care Fraud and Abuse Control Program (...Read More »
CDI Strategies - Volume 15, Issue 28

News: Ohio hospital system received $4.4 million in overpayments, OIG audit finds

July 15, 2021
Denials & Appeals, News

A Medicare hospital provider compliance audit performed by the Office of Inspector General (OIG) found that the Lake Hospital System in Ohio did not fully comply with Medicare billing requirements for 51 of 100 inpatient and...Read More »

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