Improving patient experience and satisfaction topped the list of healthcare leadership priorities, according to a new survey by HealthLeaders Media Intelligence Unit. The survey garnered more than 800 respondents, 54% of...Read More »
Across the country, 106 new Medicare Shared Savings Program Accountable Care Organizations (ACOs) began operation this month, according to a CMS Blog post by Jonathan Blum, CMS Acting Principal Deputy Administrator and...Read More »
New York City’s Health and Hospitals Corporation represents the nation’s largest public health system, with more than a million ER visits a year,...Read More »
Q: Our CDI program is three years old and our administration still questions our productivity goals. Initially we set benchmarks at 90-95% coverage rate of Medicare/Managed Medicare; 20-25% query rate; 90% response rate and 80% agree rate. Since census varies, we also established goals of...Read More »
A November report from the Government Accountability Office (GAO) calls on CMS to provide better oversight of its key audit contractors specifically related to Medicaid. The report called the National Medicaid Audit Program (NMAP) “inefficient...Read More »
Depending on how they are sequenced, CC and MCC conditions can have a direct effect on MS-DRG assignment, says ACDIS Advisory Board member Cheryl Ericson, MS, RN, CCDS, CDIP, clinical documentation improvement (CDI) education director at HCPro, Inc. in Danvers, Mass., and an AHIMA-...Read More »
Q: A few times I have seen physicians document Schatzki’s Ring. I understand that if the physician documents “acquired Schatzki’s Ring” that maps to code 530.3 no CC/MCC. However, how would...Read More »
The fight over medical necessity continued last week as the American Hospital Association and its four co-plaintiffs asks courts to “expedite” a lawsuit against U.S. Department of Health and Human Services (HHS) for unfair Medicare practices pertaining to the Recovery Auditor program.
