by Trey La Charité, MD, FACP, SFHM, CCS, CCDS
Like it or not, provider documentation is the foundation for everything done in medicine. Without it, nothing is accomplished. As healthcare reform progresses (and hospital reimbursement shrinks), the need for excellent provider...Read More »
People are human. This goes for clinicians, coders, and for CDI personnel. Mistakes happen. If left unchecked, however, mistakes become habits. Effective CDI programs understand this and take appropriate steps to ensure occasional...Read More »
CMS plans to launch a new voluntary bundled payment model—the Bundled Payments for Care Improvement Advanced (BPCI Advanced)—to “improve quality of care, coordination, and...Read More »
After saying the Merit-based Incentive Payment System (MIPS) was doomed to fall short of its policy goals, the Medicare Payment Advisory Commission (MedPAC) voted in favor of ending the...Read More »
This year, 751 hospitals will be hit with a payment reduction from Medicare due to high rates of patient injuries. These hospitals will lose 1% of their Medicare payments over fiscal year 2018.Read More »
by Trey La Charité, MD, FACP, SFHM, CCS, CCDS
In 2015, I wrote 44 appeal letters challenging DRG validation/coding denials. In 2016, I wrote 88 appeal letters. Last year, I penned 159. We already received more than 40 DRG validation denials in January of this year. Does this trend...Read More »
