Quality & Regulatory

Q: We’ve been getting denials on acute respiratory failure from Medicare Advantage plans. How...Read More »

CMS will make...Read More »

After delaying the overall star rating update on...Read More »

By Susan Wallace, MEd, RHIA, CCS, CDIP, CCDS, FAHIMA
Believe it or not, the Federal Register is one of the best crystal balls to...Read More »

Q: What does the readmission metric refer to? Read More »

eClinicalWorks, a leading EHR vendor, has been sued for nearly $1 billion over allegations that its software’s patient data are not accurate and...Read More »

No, we don’t mean the common table spice. The Program for Evaluating Payment Patterns Electronic Report (PEPPER) summarizes facility-specific data...Read More »

By Brian Murphy

In the stream of e-newsletters that flood my inbox each day I occasionally see reports that give me momentary...Read More »

The OIG greenlit a pilot program to share patient discharge data with pharmacists in an effort to improve care planning and decrease readmissions...Read More »

The Medicare Payment Advisory Commission (MedPAC) recommended payment adjustments for several settings to Congress this week.Read More »