When it comes to children’s hospitals, U.S. News and World Report is perhaps the most ubiquitous, and arguably, it uses the most clear-cut methodology for data abstraction.Read More »
By Laurie L. Prescott, MSN, RN, CCDS, CDIP, CRC, and Sharme Brodie, RN, CCDS
The inpatient prospective payment system (IPPS) requires all facilities to report a present on admission (POA) indicator (or code) for all claims. There is no required time frame as to when a provider...Read More »
by James S. Kennedy, MD, CCS, CDIP, CCDS
Many hospitals find that their patient safety indicator (PSI) ratios remain high despite doing a spectacular job of addressing these events and exclusions.Read More »
Physicians are ethically engaged in keeping patients safe and doing no harm. Unfortunately, medical and surgical care is complicated, especially in patients with high-risk comorbidities; thus, unintended negative results do occur.Read More »
Be aware of payer’s “home cooked” clinical criteria which are often not only outdated, but also ridiculous. Contrary to what the payer may claim, a patient does not regularly have to be at a near death state before having achieved grounds...Read More »
Generally speaking, developing consistent query policies and procedures for both coding and CDI staff helps keep everyone in compliance with coding regulations. Similarly, work with clinicians, CDI specialists, and coders as often as...Read More »
