$8.9 million. That is the amount Kentucky-based Baptist Healthcare Systems, Inc., had to pay as of September 1 to settle claims of improper billing related to respiratory infections and inflammations, pulmonary edema (fluid accumulation in the lungs), respiratory failure, and septicemia (blood...Read More »
Out of 88 claims for MS-DRG 246 (percutaneous cardiovascular procedure with drug-eluting stent with MCC or 4+ vessels/stents with a length of stay less than or equal to two days) reviewed during a recent probe audit, TrailBlazer Health Enterprises, LCC, fully denied 65 of them,...Read More »
Being described as "worse" in a CMS HospitalCompare data file is a dubious distinction.
A recent HospitalCompare list identifies 292 hospitals with 30-day readmission rates that are the highest in the nation in at least one of three disease categories— acute myocardial infarction,...Read More »
To make up a gap in expected overpayment collections Recovery Audit Contractors may escalate audit activities in the coming months, according to an article by Vickie...Read More »
If you’re looking for an easy, inexpensive way to celebrate the first annual Clinical Documentation Improvement Week Sept. 18-24, consider having some fun with photographs of your CDI team.
Provena and Resurrection Hospitals, which includes eight hospitals plus Provena Corporate,...Read More »
When a condition meets reporting guidelines for the inpatient admission, is it appropriate to use documentation dated outside the inpatient admission for coding purposes? Are there specific laws or guidelines that prohibit coding from documentation dated outside the inpatient admission?...Read More »
