Healthcare in America is in flux. Although tabled on Friday, March 24, the proposed American Health Care Act (AHCA) – the attempted replacement for the Affordable Care Act (ACA) –nevertheless raises many healthcare policy questions and uncertainty regarding the status of previous pay-for-...Read More »
Q: If a patient is in a three-tiered DRG, but has a three-day length of stay (LOS), is it correct that the next review need not occur till the LOS equals or exceeds three days? Do we need to capture a possible CC or MCC?
During its four-year existence, the National Quality Forum’s Measure Applications Partnership (NQFMAP) repeatedly suggested adding new measures or improvements to existing performance measures. This year, however,...Read More »
Q: If a consulting physician documents a diagnosis related to his or her specialty but the attending does not (instead simply documenting, “thank you for your assistance”) can the consulting physician’s documentation be used for coding purposes? My most experienced associate says we can...Read More »
Information management in EHRs. Implementation and use of clinical decision support. Test result reporting and follow-up. These concerns topped ECRI Institute’s list of patient safety concerns for 2017,...Read More »
Under the Affordable Care Act (ACA), providers have to recertify their Medicaid reimbursement eligibility. Because of this provision, more than 65,000 providers across 15 states lost their spots on the Medicaid roll, according to...Read More »
