Quality & Regulatory

CMS detailed seven shortcomings, including old and inadequate policies and procedures, in its 2009 audits of healthcare organizations to determine...Read More »

by Trey La Charité, MD
Every institution reading this column has likely received its first recovery audit contractor (RAC) denials...Read More »

The Medicare Learning Network released three fact sheets of interest to CDI staff:

• The “Hospital Acquired Conditions (HAC) in Acute
...Read More »

The Hospital Compare website, updated on Dec. 11, contains three new inpatient measures. These include Surgical Care Improvement Project (SCIP)...Read More »

When evaluating overall compliance within a CDI department, Lynne Spryszak, RN, CCDS, CPC-A, CDI education director for HCPro,...Read More »

 by James S. Kennedy, MD, CCS

Colleagues, as the Patient Protection and Affordable Care Act implementation progresses, the quality...Read More »

The Department of Justice (DOJ) recovered $2.5 billion in healthcare fraud recoveries for fiscal year (FY) 2010—the largest in history—and $3...Read More »

CMS has modified the additional documentation request (ADR) limits (i.e., medical record request limits) for the RAC program in 2011, according to...Read More »

On October 14, we reported that CMS issued a controversial MLN Matters special edition (SE) article which stated that all inpatient...Read More »

by Glenn Krauss, RHIA, CCS, CCS-P, CPUR, C-CDI, CCDS

As CDI specialists, we find ourselves trying to keep the attention of our...Read More »