The question often surfaces regarding what to do with CDI queries once they have been issued. My best advice is keep them. Most facilities do not consider concurrent queries part of the permanent medical record because physicians respond...Read More »
Our lives as CDI specialists revolve around largely repetitive work. Our time is spent on indicators, numbers, data, crunching and parsing opposing viewpoints. It’s safe to say that it isn’t exactly creating a piece of craftsmanship we can...Read More »
CMS and the OIG will conduct a two-part study to assess inpatient hospital billing due to unspecified upcoding in hospital billing—either accidentally or intentionally reporting higher severity codes than supported by documentation to increase payment.Read More »
Findings from a retrospective analysis of inpatient data recently shows that average hospital costs and mortality rates are significantly higher for patients diagnosed with sepsis after hospital admission when compared with patients...Read More »
The federal government has intervened in a lawsuit against Sutter Health, taking the side of a whistleblower who claims the nonprofit health system inflated the risk scores of Medicare Advantage plan enrollees to secure higher risk-adjusted payments.Read More »
Q: Our hospital system recently restructured our department and downgraded the staff level compensation (we were previously equal to a case manager level). How can I make a case for increasing our staff’s compensation again? I’ve already...Read More »
Earlier this year, ACDIS formed the Regulatory Committee with the stated purpose of reviewing regulatory policy, coding, and clinical updates, commenting to agencies on behalf of ACDIS and providing summary, interpretation...Read More »
