CDI Journal - Volume 10, Issue 6

Physician Advisor's Corner: What is (and isn’t) in your control regarding your facility CMI

December 1, 2016
CDI Expansion, Education

by Trey La Charité, MD, FACP, CCDS
Your CDI program successfully obtained consistent results over the last few years, and all is right within the CDI world. Then, the facility case-mix index (CMI) unexpectedly drops. Provided it rebounds, one or two months below its usual average...Read More »
CDI Strategies - Volume 10, Issue 6

News: OIG continues Kwashiorkor targets

February 11, 2016
News, Quality & Regulatory

Even though Promise Hospital of Ascension, a 54-bed transitional care hospital located in Gonzales, Louisiana, closed before the Office of the Inspector General (OIG) began auditing it for fraudulent Kwashiorkor claims, the agency found errors resulting in more than $450,000 in overpayments. In...Read More »
CDI Journal - Volume 10, Issue 6

View from the top: What CDI managers worry about

December 1, 2016
CDI Management

Ever make mud pies? A hose running rivers in the backyard sandbox or a collection of buckets and throwaway pie tins lining an oversized puddle after a rainstorm make the best kitchens for such non-culinary fun. How CDI managers must long for those moments when they needn’t worry about how each...Read More »
CDI Strategies - Volume 10, Issue 6

News: Latest AHA Recovery Auditor survey shows losses on outpatient and inpatient services

February 11, 2016
News

Outpatient coding and billing errors led to more than half of all automated denials by Recovery Auditors, according to the latest RACTrac survey from the American Hospital Association (AHA). Outpatient errors increased by 10% from its third quarter 2014 survey with the nationwide average...Read More »
CDI Journal - Volume 10, Issue 6

From the Forum: Productivity depends on record review expectations

December 1, 2016
CDI Management

The CDI profession often focuses on engaging providers and other medical staff members in documentation improvement efforts. However, CDI managers also need to examine productivity standards, accountability, and staff engagement. Assessing the quantity of staff reviews does not gauge whether a...Read More »
CDI Strategies - Volume 10, Issue 6

Local Chapter Update: Virginia, Illinois seek chapter leaders

February 11, 2016
News

As local chapters begin 2016 meeting planning, many need your help. Specifically, Florida, Illinois, Central Pennsylvania, and Virginia are seeking core leadership teammates. To be a local chapter leader, volunteers should live or work within the geographic region for which they are volunteering...Read More »
CDI Journal - Volume 10, Issue 6

Catapulting case management and CDI coordination

December 1, 2016
CDI Management, CDI Expansion

A physician admits a patient with dementia, yet provides no further definitive diagnosis. The CDI specialist recognizes the scenario as  similar to a case reviewed the week before, so she reaches out to the case management  (CM) team to see whether they have additional insight. The CDI...Read More »
CDI Journal - Volume 10, Issue 6

Radio Recap: Bundled payments and the role of CDI

December 1, 2016
CDI Expansion, Quality & Regulatory

CMS continues to transition from volume-based to value-based payments and Alternative Payment Models (APM), including bundled payment models, with the goal to have 30% of its payments tied to APMs by 2016 and 50% by 2018. In 2011, CMS sought out providers to test four broadly defined bundled...Read More »

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