CDI Strategies - Volume 17, Issue 15

News: New bill “No UPCODE Act” eliminates incentives for Medicare Advantage to overcharge

April 13, 2023
Clinical & Coding, News

Recently, two U.S. Senators introduced the No Unreasonable Payments, Coding, or Diagnoses for the Elderly Act, or “No UPCODE Act,”...Read More »
CDI Strategies - Volume 17, Issue 15

News: Medicare Advantage has lower utilization and higher clinical care quality, study shows

April 13, 2023
Denials & Appeals, News

According to a recent study conducted by Health Affairs, Medicare Advantage (MA) outperforms traditional Medicare in terms of clinical care quality, despite the fact that MA is used far...Read More »
CDI Strategies - Volume 17, Issue 14

News: CMS releases 2024 Medicare Advantage, Part D Rate fact sheet

April 6, 2023
Clinical & Coding, News

On March 31, 2023, CMS released the Medicare Advantage (MA) Capitulation Rates and Part C and Part D Payment Policies Fact Sheet for calendar year (CY) 2024. CMS stated...Read More »
CDI Strategies - Volume 17, Issue 14

News: New ICD-10-CM/PCS diagnosis and procedure codes in effect April 1, big focus on SDOH

April 6, 2023
Clinical & Coding, News, Quality & Regulatory

Both the CDC and CMS have implemented coding changes effective April 1, 2023.

CMS implemented 34 new ICD-10-PCS procedure codes in their quarterly update. In the...Read More »
CDI Strategies - Volume 17, Issue 14

News: SCOTUS agrees to hear case determining scienter standard for FCA cases

April 6, 2023
Denials & Appeals, News

This judicial term, the Supreme Court of the United States (SCOTUS) has agreed to hear two joint cases regarding the standard of scienter (“intent or knowledge of wrongdoing”) in legal situations pertaining to the False Claims Act (FCA).

The cases under review, ...Read More »
CDI Strategies - Volume 17, Issue 13

News: Healthcare employment back to pre-pandemic levels but nurse shortage continues, report says

March 30, 2023
CDI Management, News

With 44,200 healthcare jobs added in February, healthcare employment now matches pre-pandemic levels according to a recent report from Altarum, a nonprofit, healthcare-focused research and...Read More »
CDI Strategies - Volume 17, Issue 13

News: AMA summarized reporting changes outpatient coding teams can expect

March 30, 2023
Clinical & Coding, News

New evaluation and management (E/M) changes are on their way in 2024 and 2025, according to a summary recently published by the American Medical Association (AMA). It outlines many recent changes to the...Read More »
CDI Strategies - Volume 17, Issue 13

News: Hospital outpatient departments treat sicker and lower-income patients, AHA study reveals

March 30, 2023
News, Outpatient CDI, Quality & Regulatory

In a recent survey released by the American Hospital Association (AHA), data shows that Medicare patients who receive care from a hospital outpatient department (HOPD) are more...Read More »

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