As more facilities face the specter of reimbursement losses related to the Readmission Reduction Program, CDI programs may be asked to take a second look at records to help ensure documentation is adequate to fully support the patient’s diagnoses, says Susan Wallace, MEd, RHIA, CCS, CCDS...Read More »
Q: I am the only CDI specialist in our 150-bed facility. I have held the position for three years, and am the first one to do so helping to build the position from the ground up. Being the only CDI, I am on several committees, responsible for continual physician education, continuing...Read More »
At the close of fiscal year 2013, nearly 5,000 claims denials remained pending review at the Department Appeals Board (DAB) – the last level of administrative review following Administrative Law Judges (ALJ) appeal. The ALJs appeals backlog stood at 460,000, according to the American...Read More »
Physician evaluation and management (E/M) payments cost Medicare $32.3 billion in 2010—about 30% of all Part B payments that year—and of that amount, about $6.7 billion were incorrectly coded or documented, according to an Office of...Read More »
Those interested in serving on the 2015 ACDIS Conference Committee must be active ACDIS members and have attended at least two previous ACDIS conferences. To volunteer, please download...Read More »
Q: I am looking for help on reviewing a neonatal intensive-care unit (NICU) death chart for severity ofillness/risk of mortality (SOI/ROM). Prior to birth the child was diagnosed with a severe brain abnormality, holoprosencephaly. The family decided upon comfort care once the baby was...Read More »
