Too many organizations measure the effectiveness of their CDI program solely by an increase in Medicare case-mix index (CMI). This perspective is faulty for many reasons, but primarily because CMS frowns upon it. CMS views this practice as a strategy to...Read More »
Q: As manager of data integrity I oversee my facility’s CDI program. Can you recommend specifically what MS-DRGs are best to review and track or what CCs should we track?
Starting in January 2022, Associate Editorial Director Linnea Archibald began sending out “missed connections” emails with questions from Council members. Anyone with experience related to one of the questions was invited to respond and Archibald connected them with the question asker. In order...Read More »
Q: I have been dealing with a denial issue where, because a chest x-ray did not show pneumonia and a repeat x-ray was not performed, the pneumonia was denied. In dehydrated or immunocompromised patient the chest x-ray may not initially show the pneumonia. I am now looking for supporting...Read More »
The good news is that ACDIS has secured additional rooms at the Chicago Hyatt Regency for just $185 for Wednesday, June 2 and Thursday, June 4, the two days of the 3rd Annual ACDIS Conference. But these additional rooms are selling out quickly. There are currently less than 200 rooms left each...Read More »
One of the biggest benefits of Council membership is that it opens opportunities for collaboration and networking between members. While you can always ask questions via the ...Read More »
In 2008, the Office of Inspector General (OIG) reviewed a sample of nearly 300 Medicare hospitalizations from two counties in a one-week period in order to analyze current methods of identifying adverse events in hospitals. According to a report released this month, vulnerabilities exist in...Read More »
CMS will provide a a basic introduction to ICD-10-CM during its National Provider Conference Call of Tuesday, March 23, from 1-2:30 p.m. (EST). The call will discuss the requirement to report ICD-10, outline the benefits of the switch from ICD-9, discuss general structural differences between...Read More »