I sometimes drift through our office space—often deserted now in the era of COVID-19—and think about how the cubicles represent our spot in the healthcare industry. CDI occupies a single cubicle somewhere on the Revenue Cycle’s...Read More »
by Christine Donnamiller, RN, ACDIS-Approved CDI Apprentice
Recently, we have seen a rise in the documented diagnosis of malnutrition at our inpatient facilities. Malnutrition is highly reviewed among auditors and just as commonly denied among payers. I want to share the most...Read More »
Approximately 11 months ago, I accepted the role of the CDI manager in a facility where I formerly held a nurse executive position. Although I was new to the CDI world, I was given the role of manager based on my experience in leadership...Read More »
In 2017, nearly 38% of CDI professionals said they review medical records primarily for financial outcomes, according to an ACDIS benchmarking survey. ACDIS sources sounded alarm bells saying:
CMS reported that it plans to begin audits that would include chart reviews for validity of diagnoses in 2020 after a recent study by the Office of Inspector General (OIG). The study found potential issues with the extent to which chart reviews are leveraged by Medicare Advantage Organizations...Read More »
The Centers for Disease Control and Prevention (CDC) announced that there is a new ICD-10-CM code-- U07.0, Vaping-related disorder—established by the World Health Organizations (WHO), effective April 1, 2020.
Find full addenda information for the new code here and here.Read More »
Safety-net hospitals may not have adequate resources to comply with federal and state sepsis quality improvement standards required of acute care hospitals, according to a recent study published in the Journal of Critical Care .
Researchers analyzed data from 2,827 hospitals and...Read More »
How should we handle denied claims when the payer refuses payment under the billed status? Do we need to document that the status was changed only because the payer did not agree to any other options?Read More »