Basically, HCCs predict an individual beneficiary’s healthcare expenditures relative to the average beneficiary. CMS uses the scores to adjust payments based on the health status and demographic characteristics of a beneficiary.Read More »
The CDI Journal offers CE credits towards the ACDIS CCDS certification. To obtain your CCDS continuing education credits, you must successfully complete the online continuing education quiz. Please note: The expiration date for this activity is October 1, 2016.You must...Read More »
Everyone wants a gold star. As a personal friend often puts it, “Wouldn’t it be nice to get a pat on the head and a cookie every once in a while?”Read More »
by Karen Newhouser, RN, BSN, CCDS, CCS, CCM
The typical pay for performance (P4P) program provides a bonus to healthcare providers if they meet or exceed agreed-upon quality or performance measures. Quality. If I had a dollar every time that “buzzword” was used in the healthcare...Read More »
It’s a scenario many CDI specialists face: After spending hours reviewing a physician’s documentation and carefully crafting query after query, the physician responds with “unable to determine” or “clinically insignificant.” It may seem frustrating to get an answer like this.Read More »
by Trey La Charité, MD
Even though primary care physicians (PCP) need CDI expertise, many remain unaware of how the medical landscape around them has changed, and many more simply do not believe that their practice has to change. If the PCPs in your network are reticent, the...Read More »
