A former Hospital Corporation of America (HCA) nurse accused the hospital chain of fraudulently billing the federal government for services at Regional Medical Center in San Jose, California, to inflate reimbursement.Read More »
Q: How much does your CDI team focus on unspecified codes if it does not have an affect on the case? For example, a patient has hypertensive heart and CKD, unspecified with clinical indicators of CKD stage 3, but this was not clarified...Read More »
On an annual basis, sepsis affects about 1.7 million American adults. The infection is reportedly linked to more than 250,000 deaths. But new research says sepsis may not be true cause of the majority of those deaths.Read More »
Q:I’m looking at the HCC information on the CMS website and am having trouble navigating it. How can I find the current year CMS-HCC list without the count variables model (drop list)? What about the current year ICD-10-CM and...Read More »
About 30% of ED visits among patients with common chronic conditions are potentially unnecessary, leading to $8.3 billion in additional healthcare costs.Read More »
An inpatient study published in the Journal of the Academy of Nutrition and Dietetics analyzed a community hospital’s monthly reports for malnourished patients admitted between March 2015 and June 2017.Read More »
Insufficient documentation. That’s the biggest reason for improper payments for Healthcare Common Procedure Coding System (HCPCS) code 99234, Observation or inpatient hospital care, for the evaluation and management of a patient including admission and discharge on the same date,...Read More »
