Quality & Regulatory

Last week, the AHA submitted four, non-deadline related remedies to reduce the backlog of Medicare billing appeals awaiting adjudication at the...Read More »

Q: What’s the difference between RACs, MACs, and the CERT?Read More »

Examining readmission and mortality changes from 2010 to 2016, MedPAC found the HRRP contributed to a significant decline in readmission rates...Read More »

By the ACDIS leadership team

CMS is accepting comments on the...Read More »

Citing “stakeholder concerns,” CMS has once again postponed an update to its Overall Hospital Quality Star Ratings.Read More »

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 »

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 »

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 »