U.S. District Court Judge Michael Fitzgerald agreed to dismiss some of the claims against UnitedHealth regarding the risk adjustment payments made before 2009. However, other claims were left standing, including those which allege that after conducting chart reviews and finding invalid codes,...Read More »
Providers who still have 2017 claims to submit for the quality performance category of MIPS need to submit them as soon as possible. While submissions must be in the national Medicare claims data warehouse by March 1 in order to be analyzed, clinicians will be financially penalized if they fail...Read More »
Q:If a patient is admitted with both pneumonia and COPD, does pneumonia need to be coded before the COPD exacerbation? We have been coding COPD exacerbation first based on the advice given in AHA Coding Clinic, Third...Read More »
Often questions posted in a moment of need or curiosity spur on larger discussions among the ACDIS community. Why not join in on one of those conversations? Here are a few hot topics right now on...Read More »
If you are a member of a local chapter please fill out the online membership roster. Doing so entitles you for a discount off national membership.Read More »
Last month, CMS announced its plan to launch a new voluntary bundled payment model—the Bundled Payments for Care Improvement Advanced (BPCI Advanced)—but neglected to include a full package of...Read More »
By Tracy Boldt, RN, BSN, CCDS, CDIP, and Ellen Jantzer, RN, MSN, CCDS, CCS, CRC
If your organization has an inpatient CDI team, decide if outpatient CDI will share the same reporting structure or if the teams should be separate. A shared reporting structure can allow the new...Read More »