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 »
The Department of Health and Human Services and the Department of Defense accused Baltimore-based Kernan Hospital, a part of the University of Maryland Medical System, of inappropriately billing “protein malnutrition” as “kwashiorkor”—a $1.6 million potential error that could ultimately cost the...Read More »
Patients cared for in facilities which HealthGrades deems as five-star have 73% less risk of dying than patients seen in one-star hospitals, according to a new report titled...Read More »
CMS recently updated its Medicare Severity (MS) Grouper with Medicare Code Editor (MCE) ICD-10 R1 Pilot Software and its ICD-10 MS-DRG RI Definitions Manual. Further information is available on the CMS website at http://...Read More »
