CDI specialists should review the overall quality of medical record documentation from the day a patient comes into the ER—regardless of whether that patient ultimately ends up in observation, as an inpatient, or elsewhere.
“Quality of care is not segregated into buckets,” says Glenn...Read More »
Q: If a hospital CEO were to tell a new CDI department manager to pull together some statistics on the performance of the department, where should he or she begin?
On August 27, CMS launches its Recovery Audit Prepayment Review demonstration project. Over the next three years, the agency will contract with auditors to review medical records prior to payment.
Originally announced in November 2011, the project was delayed from its...Read More »
The next ACDIS Quarterly Conference Call is scheduled for this Thursday, August 16, from 1-2 p.m., ET. ACDIS members should have already received email instructions regarding how to access the call...Read More »
CMS is expected to soon release its final timeline for ICD-10-CM/PCS implementation. Although it had not done so as of press time, ACDIS members will receive a special alert when the announcement is made.
Meanwhile, the agency published the 2013 ICD-10-CM codes and general equivalency...Read More »
CMS recently redesigned its Hospital Compare website to enhance navigation capabilities for users. CDI specialists can use Hospital Compare to review their facility’s status on certain quality measures such as readmissions, infections, and other measures. Using the site during physician...Read More »
A recent Office of the Inspector General report found PacifiCare of Texas received $115 million in CMS overpayments. The OIG reviewed 100 sample cases and found 43 claims with incorrect payments. According to the report,...Read More »
