DRG (diagnosis-related groups) validation issues have been the main target of RAC (recovery audit coordinators) nationwide in recent months. When unclear documentation results in improperly assigned DRGs, it puts facilities at risk for RAC denials. However, an effective clinical documentation...Read More »
Our inpatient CDI program has had at least some hand in quality since I first began working in CDI in 2013. I remember being handed a paper with a table of Agency for Healthcare Research and Quality (AHRQ) indicators during orientation. At...Read More »
Okay, I know there are ton of other acronyms that clinical documentation improvement specialists need to know, not the least of which include CC, MCC, DRG, POA, HAC, CHF, CKD, ARF, (don’t forget about the biggy—CMS!) and so on...Read More »
As Medicare continues to incentivize high care value, rather than volume, through initiatives that tie hospital performance to payment and national standing, many CDI programs are expanding their scope of...Read More »
Metrics have long been the lifeblood of staff performance measurement and management. But as the CDI field advances and specialist roles evolve, so too must the criteria leaders use to evaluate success.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 »
