As the healthcare industry prepares for a system that rewards value through high quality and efficiency of care, the emphasis on patient safety as a principal priority has become more important than ever, reflected clearly in the responses across the board...Read More »
APR-DRGs are the most widely-used SOI and ROM-adjusted DRGs in the healthcare industry. They are driven not only by the principal diagnosis (PDX) and any procedures performed, but also take into consideration all secondary diagnoses. MS-DRGs, in comparison, are driven by the PDX, procedures, and...Read More »
by Glenn Krauss, RHIA, CCS, CCS-P, CPUR, C-CDI, CCDS
CDI specialists can increase their value to their hospital and ensure a far greater degree of physician buy-in through serving as a pro-active denials management specialist. In some respects CDI specialists already serve as a...Read More »
The American Hospital Association (AHA) has not made any formal decisions regarding when it will begin publishing a separate Coding Clinic for ICD-10, contrary to what was reported in a previous edition of CDI Strategies, according to Nelly Leon-Chisen, RHIA, director of...Read More »
On December 7, CMS published a final rule in the Federal Register that will give qualified organizations such as employers and consumer groups access to data to help them identify high quality healthcare providers or create online tools to help consumers make educated healthcare choices...Read More »
Most of the cases that HIM professionals code are straightforward; some are more difficult, and a few just drive them crazy. Consider the benefits of a departmental “coding conference,” which brings the HIM staff, CDI specialists, and other interested persons together on a regular basis to...Read More »