These days it seems sepsis is constantly in the news. Hardly a day passes where the efficacy of some new life-saving drug is being advocated or disputed, a sepsis DRG downgraded, or Sepsis-2 versus Sepsis-3 definitions debated. We’ve also had some major recent news from the likes of the...Read More »
The U.S. Justice Department is investigating several health insurers over whistle-blower allegations that they fraudulently collected millions in Medicare payments by claiming patients were sicker than they actually were.Read More »
by James S. Kennedy, MD, CCS, CDIP, CCDS
CMS plans to announce a complete revision of the CC/MCC structure in next year’s proposed fiscal year (FY) 2019 inpatient prospective payment system (IPPS) rule. CMS notes that over the past several years, there has been a steady increase...Read More »
CMS approved Performant, the Recovery Audit Contractor (RAC) for Region 1, to begin review activity as of Friday, March 10, according to the RAC Monitor. Read More »
Q: A patient was admitted to the emergency department (ED) via ambulance. The emergency medical technician (EMT) noted that the patient was in full cardiac arrest, with ventricular tachycardia (VT). The EMTs shocked the patient via defibrillator en route to hospital. What would we assign...Read More »
Under documentation. That’s the biggest concern when it comes to acute respiratory failure diagnoses, according to 42% of respondents to a poll during the February 8 episode of ACDIS Radio. A slight...Read More »
Despite the fact that sepsis is one of the deadliest and costly medical conditions for hospitals, doctors frequently fail to properly document this immune system response to infection that kills more than 250,000 Americans each year,...Read More »