Quality & Regulatory

Only 28% of CDI specialists are involved in the denials prevention and appeals process, according to a poll on...Read More »

By Rachel Strom, RN
Yes, I’ll admit it, I used to be one of those people, I am a former Medicare Administrative Contractor (MAC)...Read More »

By Cheryl Manchenton, RN, BSN
From a bird’s–eye view, your CDI program may be a well-oiled machine. CDI specialists pose queries,...Read More »

A patient comes into the hospital, so sick that there’s likely no coming back. The physicians do everything they can, but the patient expires....Read More »

The fiscal year (FY) 2018 IPPS final rule,...Read More »

A May 2017 HealthLeaders Intelligence Report on Value-Based Readiness found that 74% of surveyed providers depend on fee-for-service...Read More »

Through data analysis, CMS concluded that the average length of stay of functional quadriplegia cases are similar to those in MS-DRGs 947 and 948...Read More »

The work of a CDI professional can at times seem isolating and unimportant. Does it matter if a query gets answered? When we educate...Read More »

Medicare Administrative Contactors (MAC) have new revised audit targets, according to a...Read More »

Join Cheryl Ericson, MS, RN, CCDS, CDIP, and Michelle Wieczorek, RN, RHIT, CPHQ, for...Read More »