Healthcare providers in the A/B MAC jurisdiction 1 have a problem—a paid claims error rate that’s nearly twice the national average for Part B claims, according to a recent letter from...Read More »
JA Thomas expanded its CDI offerings to include the ED and other points of entry roughly two years ago, says Mel Tully, MSN, CCDS, senior vice president of clinical services and education for the consulting firm. The organization calls individuals who perform these roles “clinical...Read More »
In 2007, CMS began monitoring claims for hospital-acquired conditions (HAC), which are conditions that occur after the physician writes the inpatient admission order and that could have been reasonably prevented through the application of evidence-based guidelines and best practices. Today,...Read More »
ACDIS is sponsoring the industry’s first Clinical Documentation Improvement Week on Sept. 18-24, 2011. As part of the week’s offerings, we are providing an industry outlook survey on a handful of hot topics in the CDI industry. The results of the survey will be made publicly available....Read More »
RACs can easily data-mine for noncompliance related to coding for ventilator support, says Glenn Krauss, BBA, RHIA, CCS, CCS-P, CPUR, C-CDI, CCDS, independent revenue cycle consultant in Madison, WI. For example, patients whose length of stay is fewer than two days can’t...Read More »
ICD-10-PCS codes include one digit for the root operation that the provider performs. The root operation is always the third character in the seven-character code. The definitions of these root operations are consistent across other sections of ICD-10-PCS, although they may be represented by...Read More »
Q: Recently I have discussed the BMI and malnutrition status on patients with our Registered Dieticians (RD). The question arose as to where our criteria came from. I understand that the...Read More »
