New “variations” on reasons to query physicians was one topic mentioned several times during the recent ACDIS Conference in San Diego. In my opinion, it is also one worth thinking through and addressing head on....Read More »
Today marks the official start of the 2012 5th Annual ACDIS Conference. We are so happy to see so many CDI-related professionals converge at the Manchester Grand Hyatt in San Diego. More than 800 professionals are here with us to network and learn from their peers and industry experts...Read More »
“This claim was denied after review and it was determined that the documentation did not support the need for an inpatient level of care.”
NHIC Inc., the Medicare Administrative Contractor (MAC) for jurisdiction 14 (which includes Maine, Massachusetts, New Hampshire, Rhode Island...Read More »
CMS’ three-day rule defines certain preadmission services as inpatient operating costs, meaning they are bundled and billed as part of the inpatient claim and payment is made as part of the applicable DRG payment for the case. This sounds simple, and there had been very little new guidance for...Read More »
