“CMS faces challenges incorporating resource use and quality measures for physician feedback reports that are meaningful, actionable, and reliable...Read More »
Trying to convince physicians that good documentation has “something in it for them” is a battle that CDI specialists fight each day. But a new...Read More »
$8.9 million. That is the amount Kentucky-based Baptist Healthcare Systems, Inc., had to pay as of September 1 to settle claims of improper...Read More »
Out of 88 claims for MS-DRG 246 (percutaneous cardiovascular procedure with drug-eluting stent with MCC or 4+ vessels/stents with a length of stay...Read More »
In January facilities should expect to receive Recovery Audit Contractors (RAC) demand letters not from the RAC itself but from their Medicare...Read More »
CMS recently updated Hospital Compare web site data for 30-day mortality rates and 30-day readmissions rates for inpatients admitted with heart...Read More »
It started with two courageous coders who knew the query process where they worked at Johns Hopkins Bayview Medical Center, Inc., in Baltimore,...Read More »
Much discussion has been held of late regarding the creation of Accountable Care Organizations (ACO). Not to be left out of the discussion process...Read More »
Healthcare providers in the A/B MAC jurisdiction 1 have a problem—a paid claims error rate that’s nearly twice the national average for Part B...Read More »
