CDI Journal - Volume 12, Issue 6

Note from the Associate Editorial Director: Panta rhei—All things change

November 1, 2018
ACDIS Guidance, Quality & Regulatory

by Melissa Varnavas
It’s that time of the year again: time to pull down the tome that is the inpatient prospective payment system (IPPS) final rule and mine its pages for changes relevant to daily CDI reviews. While intimidating at more than 600 pages, the IPPS rule can be broken...Read More »
CDI Strategies - Volume 12, Issue 6

News: Medical Center received nearly $1.7 million in overpayments, OIG says

February 8, 2018
Denials & Appeals, News, Outpatient CDI, Quality & Regulatory

Medicare incorrectly paid approximately $1.7 million to Carolinas Medical Center in Charlotte, North Carolina, as a result of incorrect billing on the part of the medical center.Read More »
CDI Journal - Volume 12, Issue 6

Note from the Advisory Board: Stay relevant in changing healthcare landscape

November 1, 2018
ACDIS Guidance, Quality & Regulatory

By Sam Antonios, MD, MMM, FACP, SFHM, CPE, CCDS
Consider the story of a patient—say, a pneumonia patient—whose treatment cost a lot of money. The hospital’s reimbursement for that care, however, was less than the cost of providing it. Now say someone looked at that case and how...Read More »
CDI Strategies - Volume 12, Issue 6

Q&A: Using your PEPPER for CDI

February 8, 2018
Ask ACDIS, Quality & Regulatory, Denials & Appeals

Q: Should CDI have access to the PEPPER?Read More »
CDI Journal - Volume 12, Issue 6

Concurrent coding: An opportunity for real-time reporting, CDI-coding collaboration

November 1, 2018
ACDIS Guidance, Clinical & Coding

Much like concurrent CDI reviews, the concurrent coding process necessitates that the coding professional follow the chart throughout the patient’s admission and code it at intervals. The hope is that this process limits the number of clarifications needed after discharge, allowing the...Read More »
CDI Strategies - Volume 12, Issue 6

ACDIS update: Quarterly conference call focused on outpatient query position paper next Thursday, February 15

February 8, 2018
ACDIS Guidance, CDI Expansion, Education, Outpatient CDI

Next Thursday, February 15, 1 p.m. eastern, ACDIS members are invited to join the Quarterly Conference Call with the ACDIS Advisory Board to discuss and review the new ACDIS position paper, “...Read More »
CDI Journal - Volume 12, Issue 6

Ask ACDIS: Unpacking SOI/ROM scores in the APR-DRG system

November 1, 2018
ACDIS Guidance, Clinical & Coding

Q: What is difference between the severity of illness (SOI)/risk of mortality (ROM) in the APR-DRG arena? For example, DRG 280 with APR 190, 4/4, and the individual code SOI/ROM.

Let’s say you have a patient with a ST-...Read More »
CDI Strategies - Volume 12, Issue 6

News: CERT report shows an improper payment rate of 9.5%

February 8, 2018
News, Quality & Regulatory

Insufficient documentation accounted for 64.1% of improper payments for both Part A and Part B claims, according to a recent...Read More »

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