So you’ve made it through the rigors of the initial CDI program implementation stage. Now it’s all smooth sailing, right? Not so fast. You’ve got to watch out for those storm clouds of regulatory changes and plot a way past any stagnant waters of staffing discontent. Simply stated: Maturing...Read More »
Come October 2013, healthcare facilities will switch from reporting ICD-9-CM codes to the internally accepted ICD-10-CM code set.
CMS developed General Equivalence Mappings (GEMs) in order to help translate ICD-9 codes to ICD-10. Providers can use the GEMs “as a sort of...Read More »
I hope you’re as excited as I am about the upcoming third annual ACDIS conference in Chicago June 3–4 at the Hyatt Regency. After two successful conferences in Las Vegas, we’ve listened to your likes, dislikes, and wishes and put together what I believe to be our best, most...Read More »
Connolly Healthcare, CMS’ recovery audit contractor (RAC) for Region C, announced its first targets for complex review with a list of 24-DRGs in December 2009. A few weeks later it added 15 more DRGs to its list.
Connolly’s list was the first published, so it provided a good preview
He spent 10 years as an emergency department nurse, three years working in surgery, and several more years working nights in the ICU. With nearly 20 years of nursing experience, Steven Brush decided he had had enough. He needed a change from long hours and odd shifts. After all...Read More »
Most organizations evaluate performance by looking at calendar year data, so set aside some time in January to run some reports and analyze your program. If you’re not the data manager for your program, make an appointment to sit down with your data person/report developer/manager to review...Read More »
There is a poster that I’ve seen in several hospital departments around the country: “TEAM: Together Everyone Achieves More.” The problem, as I see it, is that developing a team takes more than just a poster. It takes collaboration, patience, and...Read More »
