HCPro is currently seeking speakers to present at the 2017 Revenue Integrity Symposium (RIS), to be held October 21–22, 2017, in Nashville, Tennessee. RIS seeks presentations on all aspects of revenue integrity, Medicare compliance, case management, and the revenue cycle, including...Read More »
By Susan Wallace, MEd, RHIA, CCS, CDIP, CCDS, FAHIMA
Believe it or not, the Federal Register is one of the best crystal balls to foresee the future of CDI.Read More »
Take a look through this edition of CDI Journal and note how many of CDI programs focused on quality also aim to capture some of the diagnoses already on most CDI programs’ top 10 lists. Through case examples and expert analysis, the March/April edition shows you how to "Take a closer...Read More »
My husband swears he had SARS (severe acute respiratory syndrome). It happened on an extended weekend trip to Maine, just a few months after the south China outbreak that killed more than 700. He suffered through our trip, and when neither antibiotics nor...Read More »
You may be wondering why so many CDI departments are expanding their review processes to include consideration of how CMS quality measures will be affected by claims data.Read More »
The Hospital Readmissions Reduction Program (HRRP) allows CMS to penalize hospitals with excess readmissions, as written in Section 3025 of the Affordable Care Act, which added section 1886(q) to the Social Security Act. Specifically, the...Read More »
About 41% of CDI programs currently review medical records for quality improvement items, according to an online ACDIS membership poll. Although CMS implemented the VBP reimbursement model as required by the Affordable Care Act (ACA) in 2011, many CDI programs have only recently started...Read More »
A number of inpatient prospective payment system changes in recent years, due primarily to the Affordable Care Act, have allowed CMS to adjust healthcare reimbursement based on quality metrics and data. But some providers are unaware that many quality scores for themselves and hospitals are...Read More »