Quality & Regulatory

By Sam Antonios, MD, MMM, FACP, SFHM, CPE, CCDS
Consider the story of a patient—say, a pneumonia patient—whose treatment cost a lot...Read More »

FEATURES
7 Concurrent coding
12 CMS-HCC version...Read More »

Auditors could be able to extrapolate findings to larger pools of claims, according to a CMS...Read More »

Q: We’re seeing an increase in the volume of medical record requests from external auditors. How can...Read More »

The rate of most HACs continued to decline from 2014 to 2016, according to the latest national...Read More »

By Cheryl Manchenton, RN, BSN, CCDS

If you search for Patient Safety Indicator (PSI) 90 (Patient Safety and Adverse Events...Read More »

Two physicians and three nurses were sentenced last week in a $11.3 million Medicare fraud scheme involving false and fraudulent claims for home...Read More »

Q: How can we help our physicians improve their documentation of medical necessity?Read More »

The Leapfrog group is launching a national survey to evaluate the safety and quality of up to 5,600 surgery centers that perform millions of...Read More »

The number of upcoded cases for patients who underwent gastrointestinal (GI) surgeries increased over a 10-year period, according to  a...Read More »