ACDIS Advisory Board member Deanne Wilk, BSN, RN, CCDS, CCS, CDI manager at Penn State Hershey Medical Center brings along her team Marcy Miles, MT, (ASCP), MBA, manager of quality and process excellence, Melissa Macguire, RN, CDI educator, and...Read More »
Out of roughly 3,000 hospitals across the country, more than 1,600 will have an increase in their base operating MS-DRG payments, according to a CMS November 1 release, regarding...Read More »
Improper hospital claims dropped from $10.45 billion to $4.42 billion from the 2014 report period (July 1, 2012 to June 30, 2013) to the 2016 report period (July 1, 2014 to June 30, 2015), according...Read More »
Every year the Office of the Inspector General (OIG) publishes a list of its audit targets for the following calendar year. Although this hefty tome tops 100 pages, it’s worth a review to ensure the OIG’s targets aren’t diagnoses and documentation trouble spots at your facility.Read More »
CMS recently released details of its next round of settlements for hospitals with pending inpatient appeals to help clear a massive backlog that has been the subject of a long-running lawsuit.
With appeals waiting for adjudication before Administrative Law Judges (ALJ) ...Read More »
The pay regulations for 2017 are expected to increase Medicare payments to hospitals for outpatient services by 1.7%, according to details about the 2017 ...Read More »
When coders can rely on the written diagnosis statement from a provider, it may negate all clinical documentation improvement efforts, according to an issue brief released by the Workgroup for...Read More »
With the help of our hospital quality improvement (QI) committees, we can take action to restore the integrity of the discharge summary. Consider the following:
