CDI Strategies - Volume 4, Issue 1

News: Add a little spice to 2010 with PEPPER reports

January 7, 2010
News

Some hospitals will start to receive Program for Evaluating Payment Patterns Electronic Reports (PEPPER) this month, according to TMF Health Quality Institute.

TMF contracts with CMS to produce the reports. State Medicare Quality Improvement Organizations previously produced and

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CDI Journal - Volume 4, Issue 1

Complex DRG audits reveal CDI target areas

January 1, 2010

Connolly Healthcare, CMS’ recovery audit contractor (RAC) for Region C, announced its first targets for complex review in December 2009. Connolly’s list of 24 DRGs is the first published, so it provides a good preview of what other RACs may target. The reviews were expected to begin in January...Read More »
CDI Leadership Insider - Volume 4, Issue 1

Offer your help to fellow Council members

January 10, 2022
ACDIS Guidance, Leadership Council

Recently, we've received a few new questions. If you have experience with any of the topics in this article, please email Linnea Archibald at larchibald@acdis.org and she'll connect you to the asking Council...Read More »
CDI Strategies - Volume 4, Issue 1

News: Elimination of consultation codes an opportunity for CDI specialists

January 7, 2010
News

Effective January 1, CMS stopped paying for the CPT codes physicians use to bill consultations. This dramatic change provides a window of opportunity for CDI specialists, who are well-positioned to not only break the bad news to physicians, but also provide them with education on how to...Read More »
CDI Journal - Volume 4, Issue 1

Facilities reveal preparation benchmarks for RAC audits

January 1, 2010
Quality & Regulatory

In 2009, HCPro's Revenue Cycle Institute conducted an in-depth study on recovery audit contractor (RAC) preparedness among healthcare providers. It garnered 717 responses from all four RAC jurisdictions. Respondents hailed from healthcare providers of various sizes: 25% came from hospitals with...Read More »
CDI Leadership Insider - Volume 4, Issue 1

2021 ACDIS Leadership Council research series synopsis report published

January 10, 2022
ACDIS Guidance, Leadership Council

In collaboration with 3M Health Information Systems, ACDIS issued a survey in January 2021 to members of the ACDIS CDI Leadership Council. Its purpose was to gather data on the ways leaders monitor impact and communicate CDI’s value to justify program investments, how CDI departments leverage...Read More »
CDI Strategies - Volume 4, Issue 1

Tip: Maintain sepsis focus under RAC scrutiny

January 7, 2010
Clinical & Coding, Quality & Regulatory

Septicemia has been problematic for some time. Coders often misunderstand the ICD-9-CM Official Guidelines for Coding and Reporting as it pertains to the sequencing of the assigned codes, says Shannon E. McCall, RHIA, CCS, CCS-P, CPC, CPC-I, CCDS, director of HIM

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CDI Journal - Volume 4, Issue 1

Director’s Note: What makes a good CDI specialist?

January 1, 2010
ACDIS Guidance

I’ve received a few phone calls lately from people interested in the CDI profession. They want to know: Who are CDI specialists? Are they qualified to become one? It’s a difficult question to answer. Many  hospitals require an RN licensure. Others use nurses in combination with HIM/coding...Read More »

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