Quality & Regulatory

by Trey La Charité, MD, FACP, SFHM, CCS, CCDS
In 2015, I wrote 44 appeal letters challenging DRG validation/coding denials. In 2016...Read More »

As the CDI profession matures, programs are instituting career ladders to create advanced positions for seasoned CDI professionals looking for a...Read More »

Last month, CMS announced its plan to launch...Read More »

Providers who still have 2017 claims to submit for the quality performance category of MIPS need to submit them as soon as possible. While...Read More »

U.S. District Court Judge Michael Fitzgerald agreed to dismiss some of the claims against UnitedHealth regarding the risk adjustment payments made...Read More »

Q: How does the Supplemental Medical Review Contractor (SMRC) determine which...Read More »

Starting this year, CMS plans to conduct an annual call for measures related to the Medicare EHR Incentive Program...Read More »

CMS now allows teaching physicians to...Read More »

Only 12% of eligible hospitals signed up for CMS’ Bundled Payments for Care Improvement (BPCI) Model 2 initiative and 47% of them dropped out...Read More »

Readmissions occur when a patient needs to return to the hospital for additional care within 30-days of their initial stay.Read More »