We’ve compiled the latest updates as to what is defined as either a complication or comorbidity (CC) or a major complication or comorbidity (MCC).Read More »
Even if you’ve been involved with your ACDIS local chapter for some time, you may not be taking full advantage of the benefits offered to you.Read More »
Hiring the best possible CDI specialists is undoubtedly the most crucial piece of the puzzle when forming a new CDI program or expanding an existing one. A CDI specialist is a uniquely qualified individual—this is not a career path for...Read More »
It seems that summer just began and yet, looking outside, I can already see several trees changing colors. With the changing of the seasons, comes back-to-school mayhem for many. Just as the children return to classrooms,...Read More »
Along with quality measure removals in the 2018 OPPS and MPFS final rules, CMS continues to propose additional removals in its proposals for 2019 and it wants greater flexibility to remove quality measures in the future.Read More »
Last week, CMS released a report on the first-year performance of the agency’s Next Generation ACO model. For the 2016 performance year, the model generated net savings for Medicare of about $62 million while...Read More »
Q:We are receiving denials on the grounds that encephalopathy must be resolved prior to discharge in order to be present. How would you suggest we fight these denials?Read More »