The Department of Justice (DOJ) and the Department of Health and Human Service Office of Inspector General announced on Thursday, July 13, charges against 412 individuals responsible for $1.3 billion in false billing. This fraud takedown is the largest in DOJ history,...Read More »
“One of the key components for a successful CDI program is the ability to review records concurrently […] Since the documentation takes place so rapidly in the outpatient world, though, concurrent review is difficult,” said Tammy Combs, RN, MSN, CDIP, CCS, CCDS, director and lead nurse planner...Read More »
CMS released the 2018 Outpatient Prospective Payment System (OPPS) proposed rule last week on Thursday, July 13. With CDI programs increasingly looking at outpatient records, the need to read and digest the OPPS proposed rule has never been greater. This particular proposed rule, however,...Read More »
The Mayo Clinic Health System recently began a $1.5 billion electronic health record (EHR) rollout which will affect all 70 of the system’s facilities and 51,000 employees across the country, according to...Read More »
As the role of coded data expands beyond statistical reporting and DRGs to accurate depictions of clinical scenarios, it’s becoming increasingly difficult to determine when a condition reaches a reportable threshold, according to a new ACDIS White Paper “...Read More »
