On October 20, CMS released its long-awaited final rule governing accountable care organizations (ACO), with major concessions to the original plan that had soured many healthcare leaders and physicians against participating....Read More »
The Department of Health and Human Services and the Department of Defense accused Baltimore-based Kernan Hospital, a part of the University of Maryland Medical System, of inappropriately billing “protein malnutrition” as “kwashiorkor”—a $1.6 million potential error that could ultimately cost the...Read More »
Patients cared for in facilities which HealthGrades deems as five-star have 73% less risk of dying than patients seen in one-star hospitals, according to a new report titled...Read More »
CMS recently updated its Medicare Severity (MS) Grouper with Medicare Code Editor (MCE) ICD-10 R1 Pilot Software and its ICD-10 MS-DRG RI Definitions Manual. Further information is available on the CMS website at http://...Read More »
As an AHIMA ICD-10 certified trainer, I have been doing a lot of work on various ICD-10 projects. When it comes to working with the new coding system, I find myself wondering whether the first ICD-10 Coding Clinics are going to...Read More »
Case management departments across the country celebrate National Case Management Week October 9 to October 15. The Case Management Society of America developed a 25-page case management promotion guide in help...Read More »