The American Hospital Association (AHA) expressed concerns about the 2017 inpatient prospective payment system (IPPS) proposed rule, including the...Read More »
CMS issued a final rule last week to revamp the way it pays for tests under the Clinical Laboratory Fee Schedule (CLFS). Now starting January 1,...Read More »
Recovery Auditor medical record requests and automated and complex denials all fell slightly in the first quarter of 2016, as did the average...Read More »
Medicare improperly paid hospitals for beneficiaries who had not received 96 or more consecutive hours of mechanical ventilation, according to...Read More »
Kim Charland, BA, RHIT, CCS; Rachel Mack, RN, MSN, CCDS, CDIP
Recent headlines continue to report that most hospitals will face some sort of Medicare penalty for excessive hospital readmissions, with a potential combined loss of $420 million in the fourth year of the Value-Based...
Robert McKinney, MD; Diana Ortiz, RN
Oschner Health System expanded its inpatient CDI program to the ambulatory setting in June 2015. Learn how it established a physician-led organizational structure for ambulatory CDI and implemented a training and onboarding plan for ambulatory...
Cynthia Raymond, RN, CPC, CPC-H, CCDS; Lindsay Wenk
Here’s a goal you can probably relate to: trying to review 100% of Medicare cases. But with a goal like that, how is anyone supposed to start reviewing other DRG payers, especially when hiring additional staff isn’t an option?...
