The beginning of a new year is the perfect time to reflect on the previous year, reminiscing over good times and bad. As the ACDIS team looks back over 2019 and ahead to 2020, we wanted to take a few moments to remind you of the topics and articles covered last year in the CDI Journal....Read More »
By Melissa Varnavas
Ask my mother. Ask my father. Ask my husband. Heck, you can even ask my nieces and nephews. For that matter, go ahead and ask ACDIS Director Brian Murphy or ACDIS Editor Linnea Archibald. Everyone knows I am absolutely no good at following the rules.Read More »
Prior to 1983, Medicare reimbursed based on actual charges that inpatient healthcare facilities billed (often referred to as “fee-for-service” payments). The more tests, procedures, and services ordered by physicians, the more an organization was paid. This created the potential for unnecessary...Read More »
For many years now, healthcare reimbursement has been based not only on whether care was provided but on how well that care was provided and the patient’s outcome following that care.
While the premise for quality programs is largely the same across the board—measure the quality of care...Read More »
According to this year’s CDI Week Industry Survey, only 10.38% of respondents (most of whom work in inpatient settings) don’t review for quality measures, continuing a year-over-year decline. For most folks on the inpatient side of the CDI world, reviewing for quality isn’t an expansion area...Read More »
The fiscal year 2020 Inpatient Prospective Payment System (IPPS) proposed rule threw gas on the population health fire when it proposed giving social determinants of health (SDOH) codes more weight as complications/comorbid conditions (CC). The final rule threw some water on the pyre, however,...Read More »
The ICD-10 Coordination and Maintenance (C&M) Committee met on September 10–11, 2019 to discuss code proposals for implementation on October 1, 2020, for fiscal year 2021. Several members of the ACDIS CDI Regulatory Committee listened to or...Read More »
by Irina Zusman, RHIA, CCS, CCDS
Both ccommercial and public payers now deny about one in every 10 submitted claims, costing health systems up to 2% of net patient revenue, according to a March 2019 article in Modern Healthcare. As the cost of healthcare continues to skyrocket,...Read More »
