You may have heard about it in the news or on television; “the great resignation” is what they’re calling it. Nursing turnover is at an all-time high. According to the latest survey from ...Read More »
MS-DRG 432 (cirrhosis and alcoholic hepatitis with MCC) is one of many MS-DRGs slated for RAC validation audits by HealthDataInsights and Connolly Healthcare, two of the four RACs that have begun targeting hospitals nationwide.
RACs may target this particular MS-DRG for a variety of...Read More »
by Laura J. Werner, DC, RN, BA, BSN, MSN, CDIP, CRCR, CCS
When our team was told that if we hit our KPIs for three months consistently we would be able to work from home, it boosted the morale of the team and the KPIs shot up faster than a firework display. As the team reached...Read More »
DRG (diagnosis-related groups) validation issues have been the main target of RAC (recovery audit coordinators) nationwide in recent months. When unclear documentation results in improperly assigned DRGs, it puts facilities at risk for RAC denials. However, an effective clinical documentation...Read More »
One of the biggest benefits of Council membership is that it opens opportunities for collaboration and networking between members. Since there are 270-plus Council members on this year’s roster, however, it can be difficult to know who to reach out to when you need help.
Our inpatient CDI program has had at least some hand in quality since I first began working in CDI in 2013. I remember being handed a paper with a table of Agency for Healthcare Research and Quality (AHRQ) indicators during orientation. At...Read More »
by Glenn Krauss, RHIA, CCS, CCS-P, CPUR, C-CDI, CCDS
I work at a small community hospital with less than 100 beds. We implemented an emergency department (ED) case management (CM) model that focuses on weekday admissions during regular business hours. We’ve trained the ED nurse...Read More »
