As the old adage goes, “garbage in, garbage out.” Protection of healthcare data and the mapping and integrity of how that data gets used is one of the core tenets of AHIMA’s recently released White Paper...Read More »
The ICD- 10 National Pilot Program began on April 12, 2012 and was completed on August 30, 2013. Volunteer AHIMA-approved ICD-10 Trainers from various facilities coded a series of de-duped medical records with an average accuracy rate of just 63%,...Read More »
Cedars-Sinai Medical Center in Los Angeles receives nearly $300 million in Medicare “outlier” payments—more than any other hospital in the country, according to a Modern Healthcare analysis of data provided under a Freedom of Information Act request published in its November 23 article...Read More »
Q: An intoxicated patient comes into the emergency department with a history of alcoholism and the physician prescribes precautions for withdrawal and documents “tremors.” Can we assume that the physician means “delerium tremors” or “DTs”?...Read More »
Q: At what stage should an established program most likely experience a reimbursement plateau? One may naturally expect the physicians to improve as CDI programs hammer them with education. After we’ve gathered all the low-hanging fruits and go for the mangos? We ran the top principal...Read More »
HCPro, Inc. and the Association of Clinical Documentation Improvement Specialists (ACDIS) are currently seeking an individual to serve as CDI Education Specialist.Read More »
Many facilities worry about the affect the new code set will have on MS-DRGs and their payments. Although the overall code changes are said to be budget neutral, that does not necessarily mean that all codes will continue to map to the MS-DRGs they do today...Read More »
"[Recovery Auditors] are doing a really good job at identifying the patients who don't have sepsis, and they're taking the money back," says ACDIS Advisory Board member Robert S. Gold, MD, CEO of DCBA, Inc., in Atlanta.
