Connolly Healthcare, CMS’ recovery audit contractor (RAC) for Region C, announced its first targets for complex review with a list of 24-DRGs in December 2009. A few weeks later it added 15 more DRGs to its list.
Connolly’s list was the first published, so it provided a good preview
Some hospitals will start to receive Program for Evaluating Payment Patterns Electronic Reports (PEPPER) this month, according to TMF Health Quality Institute.
TMF contracts with CMS to produce the reports. State Medicare Quality Improvement Organizations previously produced and
Effective January 1, CMS stopped paying for the CPT codes physicians use to bill consultations. This dramatic change provides a window of opportunity for CDI specialists, who are well-positioned to not only break the bad news to physicians, but also provide them with education on how to...Read More »
In less than a year, ACDIS networking groups have grown from one or two in key locations to more than 25 local chapters across the country. They range in formality and official affiliation but share in their mission to bring quality CDI practices to their facilities and share lessons learned...Read More »
Happy CDI Week, everyone! It seems fitting that our first CDI Leadership Insider (CLI) edition of the new Council term falls during our CDI Week celebrations. What a great way to welcome our new members to our ranks! Our...Read More »
Continuing on its pay for performance agenda, CMS released information about new bundled payments related to cardiac diseases and hip replacements as well as a new Accountable Care Organization (ACO) opportunity for small practices, according to...Read More »
