Cedars-Sinai Medical Center in Los Angeles receives nearly $300 million in Medicare “outlier” payments—more than any other hospital in the country, according to a Modern Healthcare analysis of data provided under a Freedom of Information Act request published in its November 23 article...Read More »
Q: An intoxicated patient comes into the emergency department with a history of alcoholism and the physician prescribes precautions for withdrawal and documents “tremors.” Can we assume that the physician means “delerium tremors” or “DTs”?...Read More »
Q: At what stage should an established program most likely experience a reimbursement plateau? One may naturally expect the physicians to improve as CDI programs hammer them with education. After we’ve gathered all the low-hanging fruits and go for the mangos? We ran the top principal...Read More »
HCPro, Inc. and the Association of Clinical Documentation Improvement Specialists (ACDIS) are currently seeking an individual to serve as CDI Education Specialist.Read More »
Many facilities worry about the affect the new code set will have on MS-DRGs and their payments. Although the overall code changes are said to be budget neutral, that does not necessarily mean that all codes will continue to map to the MS-DRGs they do today...Read More »
"[Recovery Auditors] are doing a really good job at identifying the patients who don't have sepsis, and they're taking the money back," says ACDIS Advisory Board member Robert S. Gold, MD, CEO of DCBA, Inc., in Atlanta.
Q: I am part of a fairly new CDI department trying to amp-up our physician education/guidelines. To that end, I have been reviewing the Academy of Nutrition and Dietetics (the Academy) and the American Society for Parental and Enteral Nutrition (ASPEN...Read More »
Q:If the physician writes septic shock instead of sepsis do I need to query for sepsis or is this an integral part and sepsis would be the principal diagnosis and the septic shock would be secondary, making it a MCC?
