Less than a year after CMS finalized the three-year phaseout of the inpatient-only (IPO) list to be completed by 2024, the agency is looking to reverse course, according to the...Read More »
The role of CDI in quality management programs is often overlooked, but unquestionably crucial to accurately reflecting a patient’s severity of illness and affect measures of length of stay, morbidity, and mortality. It’s also critical to ensure patients receive a clear and concise clinical...Read More »
Editor's note: After this article was published on the morning of June 10, 2021, UnitedHealthcare announced they would be delaying the policy based on provider feedback. Read More »
Thirty-three percent of hospital executives said their organization’s average rate of denials is in the “danger zone” (i.e., more than 10% of all claims), according to a recently released survey by...Read More »
Each fall we join our revenue cycle, quality, and coding colleagues in a race to read and understand the impacts of the newest ICD-10-CM coding changes and the Inpatient Prospective Payment System (IPPS) final rule. As CDI professionals, we can...Read More »
