CMS plans limited changes to CCs in fiscal year (FY) 2012, but proposes new MS-DRGs for excisional debridement as well as an additional hospital-acquired condition (HAC). These and other changes are part of the inpatient prospective payment system (IPPS) proposed rule posted April 19. The...Read More »
When Jennifer Love, RN, BA, CCDS, accepted a CDI position in Texas, she’d planned the move to be closer to her family. When her husband received a promotion, however, plans changed. They decided to stay in North Carolina.
Although Love remained in the area, she found a brand-new...Read More »
How can we provide quality care for our patients if we do not have a clear picture of their clinical story? That has been a core question of mine for as long as I can remember, even before I heard the term “clinical documentation improvement...Read More »
Q: How should I query for systemic inflammatory response syndrome (SIRS) if SIRS codes to sepsis? I want to correctly query and obtain the proper supporting information in the medical record in the event of an audit. Any discussion on this topic is appreciated.Read More »
Starting October 2012, Medicare will begin paying hospitals for quality measures, according to a CMS fact sheet released April 29. The new Hospital Value-Based Purchasing (VBP) program adopts performance measures under two “domains”:
In room 34 of the emergency department (ED) at Healthytown Municipal Hospital, a morbidly obese woman breathes with the aid of a face mask. A CDI specialist walks by and notices how the woman’s abdomen, not just her chest, rises and falls and decides to take a look at what the physician has...Read More »