The qSOFA is often used as a predictive assessment to determine if a patient has sepsis, allowing the hospital to start the various sepsis care measures faster and potentially save more lives. A new study published in...Read More »
Essence Healthcare Inc., a health maintenance organization (HMO) with a Medicare contract based in Missouri and Southern Illinois, submitted incorrect claims for acute stroke and major depressive disorder that did not comply with federal requirements, resulting in $158,000 in overpayments to...Read More »
In a recent blog post, CMS Administrator Seema Verma highlighted progress in reducing provider complaints related to the Medicare RAC program and the associated backlog of...Read More »
It’s a fact often cited by CDI professionals: An accurate and complete medical record can serve several important purposes—from correct coding and billing, to accurate quality measures, to better patient care. Now, hospitals in New York, Illinois, Texas, and California are using patients’...Read More »
Earlier this week, CMS announced the introduction of the CMS Primary Cares initiative, a voluntary, risk-based initiative to transform primary care to a value-based system that rewards physicians who keep patients healthy and out of the hospital.Read More »
