A New York City provider received an estimated $1.1 million in Medicare overpayments for behavioral health services that did not comply with...Read More »
UnitedHealthcare Inc. members logged more than 28 million virtual care visits in 2021, a 2,500% increase over pre-pandemic usage, the payer says...Read More »
The twin trends of patients using quality data to choose where to go for care and the popularity of value-based care purchasing programs to manage healthcare costs will only continue to grow. Healthcare organizations understand that if they can impact their quality scores, they are more likely...
Did you know that ACDIS has a whole section of available free resources? Simply go to the ACDIS website and hover over the “Resources” tab. From...Read More »
While everyone involved in health services has an interest in providing quality care, many quality management initiatives are based on regulatory requirements from CMS. As these programs originate from federal initiatives, the ACDIS Regulatory Committee has designed a road map, a quality map, to...
This paper is the third in a series on risk-based clinical documentation integrity (CDI). As the use of risk adjustment in healthcare expands, so too does the reach of CDI professionals in capturing the patient’s story, including level of risk related to demographic factors, comorbidities, and...
The following tip sheet is a sample from fictitious ABC Health System, based on its own unique patient population and risk model. It is presented here as an example only.
