Ensuring hospital revenue integrity requires three operational pillars—clinical coding, CDI, and physician education, according to Kalispell (Montana) Regional Medical Center’s (KRMC), director of CDI services and ICD-10 project manager Christine Seager, RN, BSN, CCDS.
CMS made certain concessions from its proposed site-neutral payment policies required by Section 603 of the Bipartisan Budget Act, but it is still moving forward with implementation January 1, 2017, according to the 2017 OPPS final rule.
In the final rule, released November 1, CMS...Read More »
CMS released its list of quality measures under consideration (MUC) in November and the National Quality Forum’s (NQF) Measure Applications Partnership (MAP) begun its annual review of the list, according to a blog post from the American Association of Professional Coders (AAPC).
Q: Can you please help me determine the query opportunities and code assignment/sequencing argument related to a patient who was admitted with pneumonia, congestive heart failure, acute respiratory failure, and encephalopathy? I thought that the pneumonia would be the primary and the respiratory...Read More »
Many people come to a CDI position and need to educate themselves in areas with which they have limited experience, leaving many new to the field wondering what they’ve gotten themselves into. Deciding which areas need education often depends upon the...Read More »
Central line-associated bloodstream infections (CLABSI) fell 91% and post-op venous thromboembolisms fell by 76%, according to the Agency for Healthcare Research and Quality’s (AHRQ) recent report “...Read More »
In 1999, the Institute of Medicine reported that medical errors represent one of the leading causes of mortality in the United States and noted that medical error–related deaths resulted in more than 50,000 preventable deaths and $20 billion in associated costs annually. Since then, the...Read More »
In the latest twist of the ongoing saga of Medicare claims denials and appeals, the U.S. District Court for the District of Columbia ordered Medicare must clear its backlog, which currently approaches one million claims,...Read More »
