In a recent joint paper published in The New England Journal of Medicine, the National Quality Forum (NQF) and Humana called for a new risk adjustment model that accounts for both clinical factors and social...Read More »
Q: A question came up with our staff regarding if we should be querying for linking terms using the term “with” such as “Foley with UTI.” Is the documentation of “Foley with UTI” appropriate to indicate a CAUTI when not present on admission since the word “with” assumes a...Read More »
Hospitalists coded a significantly higher proportion of Medicare beneficiaries as high severity compared to non-hospitalists, according to a study published in the Journal of the American Medical Association...Read More »
The National Quality Forum (NQF) rejected an appeal of its decision to endorse the Severe Sepsis and Septic Shock: Management Bundle (or SEP-1) measure for treating sepsis. The NQF originally endorsed the measure in 2013, and it was first...Read More »
Q: I’ve heard that the American Society for Parenteral and Enteral Nutrition (ASPEN) criteria cannot be applied to diagnose malnutrition based solely on the dietitian’s documentation. Can you please elaborate on why this is the case?Read More »
