It started with two courageous coders who knew the query process where they worked at Johns Hopkins Bayview Medical Center, Inc., in Baltimore, wasn't quite right--or compliant.
Specifically, the hospital employed a physician who worked in the billing department to review clinical...Read More »
CMS released the Inpatient Prospective Payment System (IPPS) Final Rule, Monday, Aug. 1, reducing a previously proposed negative 3.9% documentation and coding adjustment (DCA) payment offset to just 2%. The 2% DCA is even lower than the 2011 rate of 2.9%.
Much discussion has been held of late regarding the creation of Accountable Care Organizations (ACO). Not to be left out of the discussion process, AHIMA’s Thought Leadership Forum recently released a white paper on the matter entitled, ...Read More »
Healthcare providers in the A/B MAC jurisdiction 1 have a problem—a paid claims error rate that’s nearly twice the national average for Part B claims, according to a recent letter from...Read More »
RACs can easily data-mine for noncompliance related to coding for ventilator support, says Glenn Krauss, BBA, RHIA, CCS, CCS-P, CPUR, C-CDI, CCDS, independent revenue cycle consultant in Madison, WI. For example, patients whose length of stay is fewer than two days can’t...Read More »
The latest group of recipients of the CCDS credential met the requirements for the CCDS certification program and passed the exam in the period between April 2, 2011, and June 30, 2011. View the complete list here. ACDIS will continue to...Read More »