Note from the Advisory Board: Tips for outpatient expansion

By Anny Pang Yuen, RHIA, CCS, CCDS, CDIP
Because healthcare is changing so rapidly, many CDI programs recognize the importance of expanding their existing programs to cover areas that may be new to the majority of CDI specialists. As healthcare reimbursement shifts from fee-for-service to value-based models, CMS and other payers rely increasingly on reported data from programs like the Physician Quality Reporting System (PQRS) and Hospital Inpatient/Outpatient Quality Reporting (IQR/OQR). These programs evaluate the overall quality of patient care and the provider’s ability to manage costs effectively while providing that care.