With the release of the 2017 Inpatient Prospective Payment System final rule on August 2, 2016, CMS announced a delay in implementation of the NOTICE act. CMS is submitting a revised version of the Medicare Outpatient Observation Notice (MOON...Read More »
Risk adjustment requires coding and CDI professionals to work together as one team to ensure the capture of the most appropriate risk score for each patient.
If you’re looking for ways to expand your CDI department into outpatient settings and services—all of which can impact risk scores—...Read More »
Medicare covers observation care as an outpatient service under Part B payments. (Medicare reimburses different healthcare providers under different systems or parts—Part A for hospital payments, Part B for medical/doctor’s services,...Read More »
ACDIS Associate Editorial Director Linnea Archibald sends out “missed connections” emails with questions from Council members on a regular basis. Anyone with experience related to one of the questions was invited to respond and Archibald connected them with the question-asker. In order to share...Read More »
Inpatient coders are familiar with risk-adjusted methodologies—where a combination of diagnoses lead to higher-weighted code groupings--but many outpatient coders may not have encountered them.
That's likely to change as hierarchical condition category (HCCs)
CDI specialists typically review inpatient records to obtain specificity related to principal and secondary diagnosis. As a profession, such staff combine clinical knowledge with coding, billing, and documentation experience. Although not as prevalent as inpatient efforts, outpatient CDI is a...Read More »
