The battle over timely reviews for Medicare claims denials continues despite a federal court’s decision to dismiss an American Hospital Association (AHA) lawsuit in December. The suit, brought by the AHA and several hospitals, sought to have the courts compel the Department of Health and Human...Read More »
Additional diagnoses can cause confusion for physicians and CDI specialists. Whether the concern is when they should be reported, or what constitutes an additional diagnosis, William E. Haik, MD, FCCP, CDIP, director for DRG Review, Inc., in Fort Walton Beach, Florida, says the...Read More »
Both hospital inpatient and outpatient payments require substantial increases in payments in fiscal year (FY) 2016 to offset an expected negative 9.0% overall margin in FY 2015, the American Hospital Association (AHA) told the Medicare Payment Advisory Commission (MedPac) in comments it...Read More »
There are plenty of opportunities for new pediatric CDI programs to make a difference, but identifying those top query prospects can be difficult, says Karen Bridgeman, MSN, RN, CCDS, CDI educator, at the Medical University of South Carolina (MUSC) in Charleston.
The American Psychiatric Association’s (APA) Diagnostic and Statistical Manual of Mental Disorders (DSM) is considered by many clinicians as the authoritative guide to the diagnosis and classification of mental disorders. Following more than a decade...Read More »
Editor’s Note: James S. Kennedy, MD, CCS, CDIP,director of CDIMD Physician Champions offers the following perspective on a Q&A originally published in the December 18, 2014, ...Read More »
“Better, Smarter, Healthier” was the headline which topped a January announcement shifting value-based purchasing (VBP) goals and shortening implementation deadlines.
By 2016, 85% of all traditional Medicare payments will be tied to quality or value. By 2018, 90% of all payments will have...Read More »
When providers use different definitions for the same disease, confusion and chaos result. Inaccurate definitions allow Recovery Auditors (i.e., RACs) ample opportunities for denials, depriving your facility of valuable dollars/patient care resources....Read More »
