Quality measures for five social determinants of health (SDOH) domains are currently included or proposed in 21 federal programs, initiatives, or guidance documents, but more progress is needed,...Read More »
From 2011 to 2019, the frequency of the highest intensity care being coded from patient documentation increased by 41% in five states in the United States, according to a recent study published in Health Affairs...Read More »
If current trends hold, antimicrobial resistance (AMR) is predicted to surpass cancer deaths by 2025, according to the World Health Organization (WHO), Medscape reported....Read More »
Q: Does anyone have experience with denials based on the Global Leadership Initiative on Malnutrition (GLIM) versus the American Society for Parenteral and Enteral Nutrition (ASPEN) criteria?
Response #1: First, as to criteria, it should...Read More »
Q: An elderly male patient has a rectal fistula with an abscess requiring complex packing of the wound. The most recent wound documentation reports “complex persistent rectal fistula with underlying abscess present, cultures show positive for E. coli and Klebsiella.” The patient will...Read More »