FEATURES 6 Interdepartmental collaboration for denials management 14 CDI leaders’ perspective on denials management 22 Sepsis and malnutrition denials
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by Howard Rodenberg, MD, MPH, CCDS
I'm writing this a few weeks before Halloween, but I'm already feeling haunted. The spirit in question is the ghost of the ACDIS conference, our annual springtime gathering in the city where everything that happens stays there as long as nobody...Read More »
As the COVID-19 pandemic progresses, CDI specialists play a crucial part in the effort to accurately track the public’s health. As the link between clinicians and coders, CDI professionals are uniquely positioned to provide support to both...Read More »
Last week, CMS released the final 2018 performance data for the Quality Payment Program (QPP). These final QPP performance results show significant success and participation in both the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Model (APM).
by Carolyn Riel
“When I started here, it was all CC/MCCs we were looking at,” says Peggy Rice, RN, BSN, MBA, CCDS, CDI specialist at Dixie Regional Medical Center in St. George, Utah. As the CDI program matured over time, however, its focus shifted to quality...Read More »
Hospitals who serve disadvantaged patients in vulnerable communities may be unfairly penalized by the CMS rating system, according to an analysis released by...Read More »
The federal government has extended the comment period for the proposed rule mandating price transparency by two weeks, ending on January 29, reported HealthLeaders Media.
CMS said in a media release that the 15...Read More »
CMS reported that it plans to begin audits that would include chart reviews for validity of diagnoses in 2020 after a recent study by the Office of Inspector General (OIG). The study found potential issues with the extent to which chart reviews are leveraged by Medicare Advantage Organizations...Read More »
