The Office of Inspector General (OIG) will be conducting a second round of audits to determine whether acute care hospitals are being inappropriately reimbursed for outpatient services provided to inpatients, according to an update to its...Read More »
Typically, CDI specialists’ work happens before the bill drops, while the patient is in the hospital or immediately following discharge before final coding. Even with the most stringent CDI processes and an exceptionally engaged physician group, we know that...Read More »
It used to come annually. Every October, compliance officers across the country would delve into its pages to determine what the Office of the Inspector General (OIG) planned to investigate for the coming calendar year—and what their facility’s risk level might be.
Q: Have any other institutions had frequent clinical validation denials regarding acute pulmonary insufficiency following surgery? If so, what clinical indicators and resources do you use to appeal the denials?Read More »