News

Improper coding of MS-DRG 813 (coagulation disorders), reporting an extensive operating room procedure unrelated to principal diagnosis (MS-DRGs...Read More »

Hospitals can start experimenting with how new ICD-10-CM/PCS codes will translate to MS-DRGs since CMS released its...Read More »

Since the inception of the permanent recovery audit contractor (RAC) program, government auditors have identified claims errors in excess of $350...Read More »

CMS expects a year-over-year reduction of 0.5% in payments to acute care hospitals under...Read More »

In response to President Barack Obama’s January 18 executive order aimed at reducing federal regulatory burdens, the American Medical Association...Read More »

Hospital acquired conditions (HAC): The phrase seems simple enough to understand. These are conditions one acquires while in the hospital, right?...Read More »

The Centers for Disease Control (CDC) in March posted new 2011 guidelines for ICD-10-CM...Read More »

Highlights from Coding Clinic, Third and Fourth Quarters 2010, include:

• When a primary lung cancer metastasizes
...Read More »

By Glenn Krauss, BBA, RHIA, CCS, CCS-P, CPUR, FCS, PCS, CCDS, C-CDIS

Recovery Audit Contractors (RAC) denied $86 million in claims in 2010—more than double the $42 million reported in the third quarter. Medically...Read More »