While everyone involved in health services has an interest in providing quality care, many quality management initiatives are based on regulatory requirements from CMS. As these programs originate from federal initiatives, the ACDIS Regulatory Committee has designed...Read More »
CMS moved ahead with significant expansions to its site-neutral payment policies, including reductions to payments for certain services at expected off-campus provider-based departments (PBD), additional price transparency requirements, changes to its methodology for setting MS-DRG rates, and...Read More »
Q: Why is it necessary for coders, CDI professionals, and providers to align documentation and coding for substance-related disorders when applying both the DSM-5 and ICD-10? How does this impact risk adjustment and HCC capture?Read More »
Q: What are Elixhauser comorbidities, and how does present on admission (POA) status, clinical significance, and sequencing play a role in reporting them?Read More »
Many Medicare Advantage (MA) and Medicaid managed care plans offer severely limited networks for behavioral health patients, according to a new report released by Department of Health and Human Services (HHS) Office...Read More »
