Quality & Regulatory

Whether it be medical necessity, clinical validation, or coding-related—denials seem always...Read More »

Along with quality measure removals in the 2018 OPPS and MPFS final rules, CMS continues to propose additional removals in its proposals for 2019...Read More »

Q: We are receiving denials on the grounds that encephalopathy must be...Read More »

Last week, CMS released a report on the first-year performance...Read More »

By Cheryl Manchenton, RN, BSN, CCDS
If you search for Patient Safety Indicator (PSI) 90 (Patient Safety and Adverse Events...Read More »

When it comes to children’s hospitals, U.S. News and World Report is perhaps the most ubiquitous, and arguably, it uses the most clear-...Read More »

Roughly 150 physician groups sent a letter...Read More »

The 30-day hospital readmission rate for stroke patients declined by an annual average of 3.3% from 2010 to 2014,...Read More »

Certain decision support alerts built into hospital EHR systems can lower costs, readmissions, and complications for patients, according to a new...Read More »

By Brian Murphy

The end of last week brought news of a lawsuit that appears to have broad and deep ramifications for the CDI...Read More »