by Jennifer Kurian, BSN, RN, CCDS, in collaboration with Whitney Garcia, MSN, RN, CCDS, CCS, CRC
Over the past year and a half, our CDI team at The Queen’s Health System has had quite the journey in developing a collaborative effort to review all inpatient mortalities. Being the...Read More »
In a recent report by the OIG, incorrect modifier usage led to an estimated $4.9 million in overpayments from 2017 to 2019. While investigating instances of incorrect co-surgery and assistant-at-surgery modifier usage, their...Read More »
Q: In this scenario, the patient has severe vascular necrosis and osteoarthritis/osteonecrosis of bilateral hips. She came in to have a right total hip arthroplasty (THA) and left hip core decompression. Day one after her surgery during physical therapy, she was standing and reached...Read More »
by Sarang Shah, CCDS
Most CDI programs seem to be getting involved in mortality reviews these days, and Methodist Health System’s (MHS) CDI department is no different. To give you a bit of context, our CDI team consists of 18 CDI specialists led by the CDI director. Like other...Read More »
by Merle Zuel, RN, CCDS
Coding professionals are bound by the Official Guidelines for Coding and Reporting, the instructions in the code set itself, and advice in publications such as the American Hospital Association’s Coding Clinic. Because they are bound to...Read More »
by Andrew B. Maigur, MD, CHCQM-PHYADV, CMPC
While most of us rang in the new year either with friends and family or caring for our patients at the bedside, something changed in the regulatory world of healthcare with considerable impact on provider revenue. As of January 1, 2023,...Read More »
by Trey La Charité, MD, FACP, SFHM, CCS, CCDS
A close friend of mine uses the phrase “Change is bad” seriously and repeatedly. Occasionally, I agree with him. Like it or not, however, change is inevitable. How one responds to change determines how much of a problem a given change...Read More »