Risk adjustment primarily uses diagnosis codes related to chronic diseases to heighten reimbursement for sicker patients. CDI staff need to...Read More »
Q: We’re having some trouble with malnutrition documentation. In many instances, the patient meets the American Society for Parenteral and Enteral...Read More »
According to an audit from the Department of Health and Human Services’ (HHS) Office of Inspector General (OIG), a 253-bed hospital in Topeka,...Read More »
With the launch of the CMS AI Health Outcomes Challenge, healthcare facilities should expect to see investigations on artificial intelligence...Read More »
How should we handle denied claims when the payer refuses payment under the billed status? Do we need to document that the status was changed only...Read More »
CMS reported that it plans to begin audits that would include chart reviews for validity of diagnoses in 2020 after a recent study by the Office...Read More »
This episode--part 3 of a 3-part clinical series, sponsored by 3M--covered common diagnosis questions sent in from listeners of the ACDIS Podcast. With special guest Dawn R. Valdez, RN,...