The RACs have ramped up medical necessity reviews. Determining the medical necessity of an inpatient admission can be a complex process so we have to look at several different places for CMS guidance.
According to the Medicare Benefit Policy Manual, Chapter 1, § 10, an “inpatient...Read More »
ACDIS is planning a special Leadership Council reception at the 2023 ACDIS conference on Wednesday, May 10, 5-6:30 p.m. in the Plaza Ballroom/Terrace! If you’re planning to attend the conference, we encourage you to fill out this...Read More »
It did not take Bonnie I. Epps, MN, RN, manager of the CDI department at Emory Healthcare, Inc., in Atlanta,long to realize that staff physicians were not quite chomping at the bit to answer her team’s queries. To raise awareness, she quickly created a multifaceted educational approach and...Read More »
Q: Since Acute Renal Failure (ARF) is no longer a MCC (as of October 1, 2010). I would like some input on how facilities have coped with the change. Do you just code ARF, or have you started querying physicians for more specific information such as documentation for acute...Read More »
If you have experience with the topics, please email Associate Editorial Director Linnea Archibald at larchibald@acdis.org by noon eastern on Friday, April 14, and she'll connect you with the relevant folks...Read More »
There are a number of ways to get CDI information into the hands of your facility’s physicians. The following list offers a number of suggestions on how to train and engage your medical staff.Read More »
Q: Some physicians are uncomfortable making addendums to the discharge summary to include the pathological findings (e.g., malignancy). Instead, they dictate a tumor board note to summarize the course of treatment and final pathological diagnosis. However, the tumor board note is usually dated...Read More »
by Jonathan Elion, MD, FACC Inappropriate use of baseline metrics may be inadvertent,but it can result in reports that show an inflated and unrealistic effect of the CDI program on overall facility performance. Furthermore, many CDI programs leave the data analysis to an outside...Read More »