In January, CMS sent the Stage 3 Notice of Proposed Rulemaking to the Office of Management and Budget, which is the final stop for proposed rules that must be federally reviewed prior to their release. CMS representatives...Read More »
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 »
