In the Revenue Cycle Institute white paper, “ICD-10-PCS Introduces Procedure Guidelines and Coder Confusion,”Jennifer Avery, CCS, CPC-H, CPC, CPC-I, regulatory specialist for HCPro,Inc. explores each of these...Read More »
Q: Is it true that a CDI physician advisor/champion cannot be a direct patient care provider?
A: CDI departments are not required to have a physician advisor; however, it is beneficial to have a physician champion. I make a distinction between the two...Read More »
The Leapfrog Group. Healthgrades. The Joint Commission. U.S. News and World Report. Consumer Reports. The list goes on and on. Although CDI specialists often use report cards and publicly available data to explain to physicians how their documentation affects their (and their hospital’s)...Read More »
It was hardly explicit that organizations could rebill on an outpatient basis (or fully bill) for services denied as non-medically necessary in an inpatient setting. However, on March 13, CMS issued a...Read More »
In order to meet the ICD-10 October 1, 2014, implementation timeline, CMS began making necessary changes to the National Coverage Determination (NCD) hard-coded shared system edits in January 2013, and will continue to make changes quarterly through October 2013,...Read More »
