The Medicare Payment Advisory Commission (MedPAC) considered a draft recommendation from its chair, Glenn M. Hackbarth, JD, calling for a full “market basket” update of 2.6% for fiscal year 2012 inpatient hospital payments, AHA News Now reported on December 2. Hackbarth’s proposal comes...Read More »
CMS sought comments from healthcare providers regarding proposed implementation of accountable care organizations (ACOs). ACOs are a collaboration of various providers who work together to manage and coordinate care for Medicare beneficiaries and, in return, may receive payments for shared...Read More »
The Commission on Certification for Health Informatics and Information Management (CCHIIM) recently announced ICD-10 recertification requirements for individuals certified by the American Health Information Management Association (AHIMA).
In the document, “ICD-10 CE Requirements for...Read More »
The Department of Justice (DOJ) recovered $2.5 billion in healthcare fraud recoveries for fiscal year (FY) 2010—the largest in history—and $3 billion in total civil fraud claims, according to a DOJ press release. Of that...Read More »
CMS has modified the additional documentation request (ADR) limits (i.e., medical record request limits) for the RAC program in 2011, according to document posted November 10 on the...Read More »
A recent ACDIS poll asked “which type of professional comprises the majority of your CDI program chart reviewers?” The greatest number of respondents (66%) indicated they primarily employed registered nurses (RNs)...Read More »
Recently, Robert S. Gold, MD, estimated that 60% of facilities nationwide implemented CDI programs, a best guess derived from an initial ACDIS survey taken in 2007 which put the percentage of acute care facilities with CDI programs at roughly 50.
CMS released the long-anticipated proposed rule for Medicaid recovery audit contractors (RACs) Friday November 5, setting the stage for the targeted April 2011 implementation date.
The use of Medicaid RACs is another initiative put forth by CMS as part of the Affordable Care Act—...Read More »
