Some eligible professionals (EP) and group practices will get a pass for failing to meet 2016 Physician Quality Reporting requirements (PQRS) due to incomplete updates to ICD-10 code sets, CMS announced January 11.
CMS decided not to apply negative payment adjustments to EPs and group...Read More »
Healthcare providers need to dedicate resources to increasing case-mix index, improving discharge disposition code accuracy, reducing readmission denials, and improving quality measures to reduce penalties, according to a report by HealthLeaders Media sponsored by Enjoin.Read More »
Q: If a complication was unavoidable, and has been documented as such, is that good enough reason to not code it? We wouldn’t mark a code as a patient safety indicator if it was an inherent part of the procedure, so would the same hold true for unavoidable complications?...Read More »
You may be wondering why so many CDI departments are expanding their review processes to include consideration of how CMS quality measures will be affected by claims data.Read More »
Back in 2013, when James Wall, RN, BSN, CCS, joined the organization, LifePoint’s nearly 60 facilities had a hodgepodge approach to CDI efforts. In fact, only 10 even had CDI programs in place and of that, five were staffed in-house, from within the hospital, and five were staffed by outside (...Read More »
In its 2013 position paper, “Electronic Health Records and the Role of the CDI Specialist,” members of the ACDIS Advisory Board addressed several concerns related to challenges and opportunities emerging with the advent of electronic systems. Among them were how to handle copy-and-paste concerns...Read More »
I am not the first CDI consultant to recognize some essential changes needed in the current CDI program structure. I have had the privilege of being an active part of CDI evolution since 2010. Since that time, my understanding of CDI has...Read More »