Inpatient admissions for patients undergoing cardiovascular procedures such as implants of stents and pacemakers and elective kyphoplasty procedures appears to be the culprit behind a $37 million dollar False Claims Act settlement between the government and Dignity Health,...Read More »
Q: Although I understand that a coder cannot code from a previous encounter’s documentation, can the CDI specialist bring information to the physician’s attention such as laboratory results in order to obtain a baseline for renal failure/chronic kidney disease (CKD)?Read More »
“Many CDI programs have set their goals as: accurate coding, maximum reimbursement, increased case mix index (CMI), and better risk-adjusted scores,” says Cesar M. Limjoco, MD, vice president of clinical services at DCBA, Inc. in Atlanta, Georgia. “But are they missing the mark? Are...Read More »
Yesterday I hosted our second installment of “ACDIS Radio.” During the call I was joined by ACDIS Advisory Board Member Walter Houlihan, MBA, RHIA, CCS, director of HIM and CDIatBaystate Health in Springfield, Massachusetts, Vicki S....Read More »
Next Friday you may very well expect a visit from ghouls and goblins—Halloween is upon us. While most individuals will open their doors October 31 to Disney’s Queen Elsa or miniature zombies looking for candy, Salem (Oregon) Health System will open its doors to CDI professionals looking to...Read More »
As the adage goes “a picture’s worth a thousand words” but for facilities wrangling with the Office of the Inspector General (OIG) the adage might better be rephrased to “a sample’s worth a million dollars,” as the agency extrapolates payment errors to the sum of more than $400,000 related to...Read More »
The American Medical Association (AMA) addressed weaknesses in CMS’ EHR Incentive Programs and made recommendations for improving the programs in a letter to CMS and the Office of the National Coordinator (ONC),...Read More »
