As you put the final touches on your itinerary, we have a couple more speaker previews that we’d like to share with you. This week, we spoke with Allison Clerval, RN, BSN, CCDS and Kathleen M. Shindle, RN, BSN, CCDS, who will present “A Matter of Life and Death: CDI Impact on Mortality Risk...Read More »
Quality. If we had a dollar every time that word is used, we would be wealthy. But money isn’t everything. Just consider the evolution of the CDI profession.
True, the CDI profession was built on a financial platform – it’s how...Read More »
Every October, the Office of the Inspector General (OIG) hands the public a cheat sheet of sorts—its annual Work Plan—releasing its list of audit targets for the coming calendar year. Sometimes its priorities echo those from previous years, other times they...Read More »
Inpatient admissions for patients undergoing cardiovascular procedures such as implants of stents and pacemakers and elective kyphoplasty procedures appears to be the culprit behind a $37 million dollar False Claims Act settlement between the government and Dignity Health,...Read More »
As the adage goes “a picture’s worth a thousand words” but for facilities wrangling with the Office of the Inspector General (OIG) the adage might better be rephrased to “a sample’s worth a million dollars,” as the agency extrapolates payment errors to the sum of more than $400,000 related to...Read More »
After announcing its intention to essentially cut a deal with hospitals in order to settle a backlog of pending denials’ appeals, it now appears that CMS may not have the authority to do so, according to a letter to HHS Secretary Sylvia Burwell...Read More »
by Shannon Newell, RHIA, CCS, Steve Weichhand, and Sean Johnson
Since the implementation of the Hospital Value-Based Purchasing (HVBP) Program in 2013, CMS has adjusted the MS-DRG payment for each traditional Medicare discharge. The type and amount of the adjustment, which could...Read More »
