Hospitals may be better at preventing early readmissions but outpatient clinics and home-based interventions are better for preventing late readmissions, according to...Read More »
Clinicians working in ambulatory surgical centers may soon have more discretion over when to conduct comprehensive medical H&Ps, if CMS’ proposed changes to the Medicare Conditions of Participation and Conditions for Coverage are implemented.Read More »
by Denise Wilson, RN, MS, RRT, and Karla Hiravi, RN, BSN
Facility appeal writers must craft piles of appeals, with virtually no time to investigate the accuracy of payer denials. However, understanding the appeal process is crucial.Read More »
As part of the eighth annual Clinical Documentation Improvement Week, ACDIS has conducted a series of interviews with CDI professionals on a variety of emerging industry topics. Mindy Davis, RHIT, CDIP, CCS, director of HIM and CDI at Rutherford (North Carolina) Regional Health System in...Read More »
By Trey La Charité, MD, FACP, SFHM, CCDS
Over the years, Congress passed numerous pieces of legislation to limit healthcare spending, combat losses due to fraud, and ensure that dollars spent truly benefit the American population with quality care. Numerous watchdog programs...Read More »
According to a recent report from the RAND Corporation, public rankings of hospital quality would be more accurate and useful if they incorporated the different ways patients judge a hospital’s performance.Read More »
In a ruling, a U.S. district judge sided with UnitedHealth, which argued that the rule requiring MA plans to return overpayments based on an analysist of its members...Read More »
Along with quality measure removals in the 2018 OPPS and MPFS final rules, CMS continues to propose additional removals in its proposals for 2019 and it wants greater flexibility to remove quality measures in the future.Read More »