CMS had a 71.3% improper payment rate for surgical dressings in 2017, accounting for 0.3% or $126 million of the overall Medicare FFS improper payment rate that year, according a CERT report in...Read More »
Last week, CMS proposed major changes to the FY 2019 Physician Fee Schedule and the Quality Payment Program, some of which could change the E/M documentation requirements.Read More »
Q:We use the pre-bill reconciliation process at the time of coding and are trying to determine the true CDI/coding match rate. If the CDI specialist doesn’t enter the queried diagnosis in their working DRG but the physician...Read More »
The CDI and coding teams should routinely meet to discuss documentation issues, physician/provider challenges, and DRG variations. Many organizations conduct DRG comparisons between the CDI and coding teams. DRG assignment is an excellent area for education for both teams.Read More »
There’s lots of strategies available to encourage participation, manage volunteers, and make handing off ownership to new local chapter leaders. over the next couple weeks, we’ll offer 10 ideas for you to try. Here are the first five.Read More »