As you may have seen already, we recently opened the 2024 Understanding the Physician Advisor Role survey, and we’d greatly appreciate it if you’d forward this survey to your physician advisors and champions and ask them to respond. You can respond to the survey by clicking here: ...Read More »
The CDI Roadmap is intended to help establish baselines for hospitals starting up a new CDI department,either for the first time or in a “reboot.” Established CDI programs should find these documents beneficial as well. One of the documents I’m most pleased with is the “Goals and objectives of...Read More »
CMS’ Recovery Auditors (previously called Recovery Audit Contractors, now associated with the Recovery Audit Program [RAP]), collected nearly $400 million in overpayments from October 1 through December 31, 2011,...Read More »
If you have experience with the topics below, please email Linnea Archibald at linnea.archibald@hcpro.com by noon eastern on Monday, April 15, and she'll connect you with the relevant folks at the end of the day on Monday. Note that you have a...Read More »
On August 24, the U.S. Department of Health and Human Services (HHS) announced a one-year delay of ICD-10-CM/PCS implementation. The new deadline is October 1, 2014. (Read the final rule at www.ofr.gov/OFRUpload/OFRData/2012-21238_PI.pdf.)
The switch from ICD-9-CM to ICD-10-CM/PCS is set and it isn’t going to change. There is no waiting for ICD-11, no two-year delay until 2015. But many questions remain. The following Q&As were culled from 3M’s September 5 webinar, “ICD-10 Final Rule Q&A.”Read More »
Fifty-eight percent of claims billed with MS-DRG 246, percutaneous cardiovascular procedure with drug-eluting stent, with MCC or four-plus vessels/stents, were denied by Trailblazer Health Enterprises, LLC, the Medicare Administrative Contractor for Jurisdiction 4(Texas, New Mexico, Colorado,...Read More »
