By Rachel Strom, RN
Yes, I’ll admit it, I used to be one of those people, I am a former Medicare Administrative Contractor (MAC) reviewer. Before finding a great fit in on a CDI dream team (or so I’d like to think we are), I worked as a Medical Review Examiner for a MAC contractor...Read More »
By Cheryl Manchenton, RN, BSN
From a bird’s–eye view, your CDI program may be a well-oiled machine. CDI specialists pose queries, physicians respond, and coders assign the most accurate and specific codes. But, what happens as your organization continues its journey from volume-...Read More »
A patient comes into the hospital, so sick that there’s likely no coming back. The physicians do everything they can, but the patient expires. Anyone working in a hospital setting knows this scenario all too well.
But, look more closely at the documentation for that patient. In many cases...Read More »
Only 28% of CDI specialists are involved in the denials prevention and appeals process, according to a poll on the April 12, 2016, episode of ACDIS Radio, “The importance of CDI in denials management,” while 40% are...Read More »
“Even if you don’t have a title, you can be a leader if you’re passionate and have a desire to change a process that’s not working,” said Judy Schade, RN, MSN, CCM, CCDS, CDI specialist at the Mayo Clinic Hospital, on the May 18 Quarterly Conference Call. She spoke in regard to...Read More »
Healthcare providers need to dedicate resources to increasing case-mix index, improving discharge disposition code accuracy, reducing readmission denials, and improving quality measures to reduce penalties, according to a report by HealthLeaders Media sponsored by Enjoin.Read More »
CMS recently updated its Recovery Audit program webpages with names of each new contractor, respective regions of responsibility, with links for updates, program reports, provider resources, and historical programs, according to Valerie A. Rinkle, MPA, a lead regulatory specialist and instructor...Read More »
