The auditing arm of the Department of Health and Human Services (HHS) plans to crack down on hospital performance in the areas of reporting of adverse events and quality measure data, present on admission coding, inpatient outlier payments, and same-day readmissions.
CMS will host a National Provider Call on Thursday, November 17, 1:30-3 p.m. (ET) regarding ICD-10 implementation strategies. The call will feature presentations by the four cooperating parties: CMS, the American Hospital Association (AHA), the American Health Information Management Association...Read More »
On November 1, CMS issued its Medicare Physician Fee Schedule (MPFS) for calendar year 2012. In it, CMS details the new “value-based payment modifier,” according to a Fact Sheet on the matter.
On October 20, CMS released its long-awaited final rule governing accountable care organizations (ACO), with major concessions to the original plan that had soured many healthcare leaders and physicians against participating....Read More »
Coders and CDI specialists need to understand the implications coding and sequencing may have on readmissions data and cohort selection, says James S. Kennedy, MD, CCS, managing director at FTI Consulting in Atlanta and a member of the ACDIS advisory board.
Can a patient have encephalopathy after a surgery? For example, a patient post surgery becomes confused and ends up being transferred from the medical/surgical floor to the ICU and began receiving high doses of pain medication via IV. However, the patient recovers well and the confusion...Read More »
by Glenn Krauss, RHIA, CCS, CCS-P, CPUR, C-CDI, CCDS
Sequencing is a challenge, particularly when two conditions meet the definition of principal diagnosis but only one justifies medical necessity for admission. Many CDI professionals don’t consider the major role sequencing...Read More »
We are currently seeking four new ACDIS members to join our advisory board in 2012. ACDIS advisors are important, volunteer positions that help shape the direction of the association and provide leadership and expertise for the membership. The term of service is a maximum of three years....Read More »
