Volunteers sought for ICD-10-CM/PCS end-to-end testing set to begin in July. The tests will demonstrate whether CMS systems including Medicare claims, MACs, and the Common Electronic Data Interchange (CEDI) contractors are ready for the ICD-10 implementation.Read More »
Q: I am a relatively new CDI specialist in a relatively new CDI program. We learned that we should be examining the health record with an eye toward “what bought the bed.” When we raise this concept to our coders, however, they disagreed with the premise telling us that such a concept was...Read More »
As hospital and health system finance leaders look for ways to enhance revenue in an era of shrinking margins, many turn their attention to their organization's case mix index (CMI). A higher CMI means more reimbursement dollars for providing care because it indicates that a hospital is treating...Read More »
In 2008, only 11% of poll respondents indicated their CDI program either reviewed outpatient records for documentation improvement opportunities or were looking to expand into outpatient (8% and 3% respectively). How has the climate changed?
From calendar year 2008 to 2011, Medicare paid more than $65 billion for physician services. In each of these years, 2% of the physicians were responsible for almost 25% of all the payments—each receiving annual payments of approximately $1 million, according...Read More »
Congress agreed to extend sequestration on Medicare for an additional year, to 2024, as an offset to restore military cost-of-living adjustments, according to Rural Health Voices, the blog of the National...Read More »
