The work of a CDI professional can at times seem isolating and unimportant. Does it matter if a query gets answered? When we educate physicians, and tell them what they document matters, are they listening? Then a case comes along and demonstrates not just that the CDI profession does...Read More »
Through data analysis, CMS concluded that the average length of stay of functional quadriplegia cases are similar to those in MS-DRGs 947 and 948. Ultimately, CMS agreed with the commenter and finalized the assignment of code R53.2 to MS-DRGs 947 and 948.Read More »
A May 2017 HealthLeaders Intelligence Report on Value-Based Readiness found that 74% of surveyed providers depend on fee-for-service payments, and the remaining 26% rely on value-based payment. Providers, however, say that mix will change to 48% fee-for-service and 52% value-based...Read More »
The fiscal year (FY) 2018 IPPS final rule, released earlier this month, decreased the number of electronic quality measure (eCQM) and calendar quarters for which hospitals must submit...Read More »
Q:How does the Supplemental Medical Review Contractor (SMRC) determine which reviews to perform? Does SMRC work for CMS or our Medicare Administrative Contractor (MAC)? Read More »
CMS now plans to cancel two mandatory bundled payment programs, according to a new rule title posted to the Federal Register on August 10. The two rules, the Advancing Care Coordination through Episode Payment Models and the...Read More »
Join Cheryl Ericson, MS, RN, CCDS, CDIP, and Michelle Wieczorek, RN, RHIT, CPHQ, for a 90-minute webinar on how clinical documentation can ensure accurate capture of patients’ acuity and...Read More »
