I've been told that if there are clinical indicators to support that chronic kidney disease (CKD) is the etiology of a patient’s hypertension, a code from category I15 would be assigned. Code I12 is for hypertensive CKD, isn’t it? So why do we have to use I15 codes instead? What’s the main...Read More »
I was working in the office, late one night
When my eyes beheld an eerie sight
For my coworkers from their cubicles, began to rise
And suddenly to my surprise
They did the mash, they did the monster mash...Read More »
Earlier this summer, CMS resumed Medicare fee-for-service audits which had been suspended starting the end of March because of the COVID-19 public health emergency (PHE).Read More »
Some facilities that should have been penalized under the Hospital Readmissions Reduction Program (HRRP) weren’t and some that were probably shouldn’t have been, according to a new study...Read More »
Q: Have any other institutions had frequent clinical validation denials regarding acute pulmonary insufficiency following surgery? If so, what clinical indicators and resources do you use to appeal the denials?Read More »
The ACDIS Regulatory Committee is submitting three proposals on the fiscal year 2022 inpatient prospective payment system (IPPS) and is asking for your support.Read More »
