by Susan Schmitz, JD, RN, CCS, CCDS, CDIP
If you’re anything like me, I imagine you were quite relieved when the fiscal year (FY) 2020 inpatient prospective payment system (IPPS) final rule came out. The proposed rule with its thousands of CC and hundreds of MCC downgrades proved...Read More »
Prior to 1983, Medicare reimbursed based on actual charges that inpatient healthcare facilities billed (often referred to as “fee-for-service” payments). The more tests, procedures, and services ordered by physicians, the more an organization was paid. This created the potential for unnecessary...Read More »
Q: I have a question about DRG 963. I’ve heard that we need three different trauma diagnoses from at least two different body site categories for this DRG. The DRG Expert has a list of all diagnoses under DRG 963, but it doesn’t...Read More »
According to a recent survey conducted jointly by ACDIS and its partner 3M, 47% of 575 total respondents indicated they have a concurrent program in which CDI specialists and...Read More »
Sepsis is a common clinical finding in patients admitted to the hospital. Documenting the presence of sepsis is critical to best determine each individual patient’s needs for care. However, clinicians often vary in their definitions of sepsis or fail to note the presence of sepsis in the medical...Read More »
The ICD-10 Coordination and Maintenance (C&M) Committee met on September 10–11, 2019 to discuss code proposals for implementation on October 1, 2020, for fiscal year 2021. Several members of the ACDIS CDI Regulatory Committee listened to or...Read More »
by Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, COBGC
The fiscal year (FY) 2020 ICD-10-CM Official Guidelines for Coding and Reporting, released shortly after the FY 2020 ICD-10-CM code release, provide instructions for healthcare professionals on how to appropriately report...Read More »
