Since the advent of electronic medical record (EMR) systems, CDI professionals have known that physician copy and paste errors pose a threat to accurate documentation. Consequently, these errors can also negatively affect patient safety as well, according to a...Read More »
A Comprehensive Error Rate Testing (CERT) study showed insufficient documentation caused the most improper payments for facet joint injections, according to the January 2016 Medicare Quarterly Compliance Newsletter.Read More »
Nearly half of the death certificates reviewed by the Centers for Disease Control and Prevention from 2009 to 2012 listed the cause of death inaccurately. The Morbidity and Mortality Report, published in January, reviewed 205 medical charts at random from eight separate hospitals in the...Read More »
Even though we now have a new president of the United States who vowed to abolish the Affordable Care Act, I believe that Donald J. Trump will not touch provisions that address perceived cost inefficiency or quality within our healthcare system...Read More »
Q: If I document a wound at Stage 3 with no CC or MCC, do I also need to assign a present on admission (POA) status? A: Every diagnosis reported (unless exempt) require a POA status.Read More »
No, we don’t mean the common table spice. The Program for Evaluating Payment Patterns Electronic Report (PEPPER) is distributed by TMF Health Quality Institute under contract with CMS and summarizes facility-specific data statistics for Medicare services that may be at risk for improper payments...Read More »
All short-term acute care facilities earn reimbursement from Medicare according to the inpatient prospective payment system (IPPS), right? And all outpatient facilities obtain reimbursement according to the rules in the outpatient prospective payment system (OPPS), correct?