The bane of many CDI specialists’ existence is trying to get physicians to buy into good documentation practices. But a recent notice issued by TrailBlazer Health Enterprises, LLC, put in about as plain words I’ve seen that contractors are now going to be comparing Part A (hospital) with Part B...Read More »
As the healthcare industry prepares for a system that rewards value through high quality and efficiency of care, the emphasis on patient safety as a principal priority has become more important than ever, reflected clearly in the responses across the board...Read More »
On December 7, CMS published a final rule in the Federal Register that will give qualified organizations such as employers and consumer groups access to data to help them identify high quality healthcare providers or create online tools to help consumers make educated healthcare choices...Read More »
While CDI and coding staff members are well versed in assigning a principal diagnosis, they are often less adept at incorporating the concept of medical necessity into their practices, says Glenn Krauss, BBA, RHIA, CCS, CCS-P, CPUR, C-CDI, CCDS. Coders tend to simply code what'...Read More »
The auditing arm of the Department of Health and Human Services (HHS) plans to crack down on hospital performance in the areas of reporting of adverse events and quality measure data, present on admission coding, inpatient outlier payments, and same-day readmissions.
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 »
