With the fourth year of open enrollment for Affordable Care Act (ACA) marketplace health plans just six months away, CMS is launching two new programs—Simple Choice Plans and the Quality Rating System— to help consumers make informed decisions about their health care, according to a blog post ...Read More »
The Office of the Inspector General (OIG) continues to target fraudulent Kwashiorkor claims. This time, the agency found Cornerstone Hospital of Bossier City, Louisiana, was overpaid $321,971 for inpatient claims. OIG audited 73 of the 189 claims with Kwashiorkor submitted by the 62-bed long-...Read More »
Malnutrition has historically been an issue in facilities, mainly because before 2012, no standard criteria existed for adult or pediatric malnutrition. With a widespread lack of awareness of national best practice guidelines for malnutrition, identifying and diagnosing malnutrition is often...Read More »
Q: When I try to code ileostomy take down of the small bowel resection and end-to-end anastomosis I get to code 0DBB4ZZ. Is this not a repair of the ileum and coded to 0DQB3ZZ? Coding Clinic notes the prior code not the latter, but repair means restore to previous function.Read More »
I’m asked from time to time what excites me most about the ACDIS conference. Perhaps at one time it might have been the allure of the big cities we’ve gone to—Las Vegas, San Diego, San Antonio, Nashville, or this year, Atlanta—but now the answer is easy. It’s the people. I truly believe that...Read More »
Can you believe it? We’re already just over two weeks until the 9th Annual ACDIS Conference in Atlanta, Georgia! In case you haven’t noticed, this edition of CDI Strategies marks the first our special conference editions. These email newsletters will highlight important...Read More »
Just as government healthcare reimbursement methods continue to evolve on the inpatient side, physicians also now face challenging healthcare reform initiatives for their own services. Read More »
