Quality & Regulatory

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

Following the March Coordination and Maintenance Committee meeting on ICD-10, CMS released...Read More »

Q: What strategies would you recommend for building an effective denials...Read More »

The rule includes updates to quality initiatives and changes to the 2019 ICD-10-CM/PCS codes. Coming in at 1,883 pages,...Read More »

A CERT review showed improper coding and insufficient documentation caused most improper payments for E/M services.Read More »

Providers should brush up on their MIPS knowledge and review reporting as the first quarter of 2018 draws to a close, via CMS’ recently released...Read More »

More than half of the $13.8 million in Medicare telehealth payments examined by federal auditors fell short of reporting requirements.Read More »

CMS’ quality measures for bundled payments fail to adequately measure the quality of healthcare, researchers at Johns Hopkins wrote in...Read More »

Cecilia Guardiola, RN, resigned from her position as corporate director of CDI after three months over concerns that Banner Health seemed to be...Read More »

By Laurie L. Prescott, RN, MSN, CCDS, CDIP, CRC

Compliance is a “shady” subject. Those that have attended my...Read More »