One pivotal update included in the CMS fiscal year (FY) 2019 Inpatient Prospective Payment System (IPPS) Final Rule is the addition of acute respiratory distress syndrome (ARDS) to the list of diagnoses that count as major complicating conditions and comorbidities (MCC). Although this addition...

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Clinical validation is having a growing impact on CDI programs.  There is the financial risk of potential denials and the operational challenges of staying aligned with HIM teams where coding guidelines don’t necessarily require supporting clinical data.  These factors, along with the knowledge...

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