By Katy Good, RN, BSN, CCDS, CCS
Over the past years, progressive CDI programs have expanded to additional payer sources, begun targeted mortality reviews, and identified hospital-acquired conditions and Patient Safety Indicators, among other initiatives. Despite this, many CDI...Read More »
For many surgeons, “surgical precision” doesn’t just describe their specificity and prowess in the operating room; it often describes their personality as well. Their fine-tuned accuracy is a point of pride not only in the surgical theater, but in everything they do.Read More »
by Trey La Charité, MD, FACP, SFHM, CCS, CCDS
Like it or not, provider documentation is the foundation for everything done in medicine. Without it, nothing is accomplished. As healthcare reform progresses (and hospital reimbursement shrinks), the need for excellent provider...Read More »
There are 12,400 home health agencies which provided care to 4.9 million patients in 2014, according to the Centers for Disease Control and Prevention. In light of efforts to keep patients from being readmitted to hospitals, and to keep the hospital stays they do undergo as short as possible,...Read More »
“DRG validation can mean many things in many different arenas,” Autumn Reiter, RN, BSN, CCDS, CDIP, CCS, director of CDI staffing services at TrustHCS, said on the January 3 episode of ACDIS Radio, “New approaches in DRG validation.” “Essentially, it’s ensuring a correct final...Read More »
Everyone working in CDI knows that the job would be much easier without physician pushback—but that’s an unrealistic pipe dream, it seems. Year after year, ACDIS’ surveys turn up the same results: The number one challenge for CDI programs is always physician engagement.
Outpatient has been the buzzword in CDI circles for some time now, leading to increased resources for the expansion (such as the first annual ACDIS Symposium: Outpatient CDI, the Outpatient CDI Pocket Guide: Focusing on HCCs, and First Steps in Outpatient CDI: Tips and Tools for...Read More »
by Trey La Charité, MD, FACP, SFHM, CCS, CCDS
In 2015, I wrote 44 appeal letters challenging DRG validation/coding denials. In 2016, I wrote 88 appeal letters. Last year, I penned 159. We already received more than 40 DRG validation denials in January of this year. Does this trend...Read More »