After announcing its intention to essentially cut a deal with hospitals in order to settle a backlog of pending denials’ appeals, it now appears that CMS may not have the authority to do so, according to a letter to HHS Secretary Sylvia Burwell...Read More »
In exchange for dropping appeals, CMS says it will provide partial payment of previously denied claims to acute care and critical access hospitals,...Read More »
The CDI Pocket Guide 2015 update is under development, and authors Dr. Richard Pinson and Cynthia Tang hope to exceed your expectations. If you’re a previous buyer please share your suggestions and any "wish list" items with them at info@...Read More »
CMS and its contractors will conduct three ICD-10-CM/PCS testing periods in November, March, and June, according to a recent MedLearn Matters (MM8858).
Although only about 25% of hospitals currently outsource their CDI efforts, roughly 70% plan to partner with a private firm in one form or another by the third quarter of 2015, according to a July 29 release from Black Book...Read More »
The 2015 IPPS final rule, released August 4, focuses on quality initiatives and includes no ICD-9-CM diagnosis or procedure code changes. However, CMS did finalize some MS-DRG changes for Fiscal Year 2015.Read More »
