Quality & Regulatory

By Allen Frady, RN-BSN, CCDS, CCS, CRC

Generally speaking, developing consistent query policies and procedures for both coding and...Read More »

By Laurie L. Prescott, MSN, RN, CCDS, CDIP, CRC, and Sharme Brodie, RN, CCDS
The goal of the risk-adjustment model applied to...Read More »

One of the most problematic issues in CDI since its inception has been locating, interpreting, and applying official guidelines and regulations as...Read More »

By Allen Frady, RN-BSN, CCDS, CCS, CRC

The following is a list of things I have been told to do by auditors and even gotten my...Read More »

Q: I have a question about Program for Evaluating Payment Patterns Electronic...Read More »

Hospital-acquired conditions (HAC) declined by 8% between 2014 and 2016, preventing an estimated 8,000 deaths and $2.9 billion in healthcare costs...Read More »

The National Guidelines Clearinghouse and the National...Read More »

By Laurie L. Prescott, MSN, RN, CCDS, CDIP, CRC, and Sharme Brodie, RN, CCDS

There are a number of risk-adjustment models used in...Read More »

CMS released its first ever Medicaid and Children’s Health Insurance...Read More »