Quality. It’s been CMS’ mantra over the past few years.
Traditionally, the inpatient prospective payment system (IPPS) final rule’s release marked changes in MS-DRG assignment, creation of new ICD codes, and payment and regulatory measures.
Such items essentially vanished of late...Read More »
Even as CDI programs begin to expand their focus to areas addressed under the Value-Based Purchasing program such as the Hospital Readmission Reduction Program (HRRP), two U.S....Read More »
The latest statistics for short-term acute care facilities (hospitals) with statistics through the fourth quarter of FY 2014, were recently released. PEPPER is distributed via MyQualityNet to hospital administrators and to those with a basic user account. CDI staff can work with their hospital’s...Read More »
Effective documentation of the condition and the patients’ co-morbidities may help lawyers successfully defend physicians in litigation regarding decubitus ulcer cases, according...Read More »
Three university hospitals saw a doubling of Recovery Auditor (RAC) audit activity from 2010–2011 to 2012–2013, and a nearly three-fold increase in overpayment determinations, according to a new study in the Journal of Hospital Medicine.Read More »
For calendar years (CYs) 2010 and 2011, Medicare paid hospitals $711 million for claims that included a diagnosis code for Kwashiorkor, a form of severe protein malnutrition typically found in third-world countries that is extremely rare in the United States.Read More »
There are a lot of changes coming with ICD-10—including an update to the exam for the Certified Clinical Documentation Specialist (CCDS) credential. Beginning in mid-January 2016, the exam will include ICD-10-related questions.Read More »
