Quality & Regulatory

CMS is hosting a free webinar on March 22 at 2 p.m. to discuss the Medicare Accountable Care Organization (ACO)...Read More »

Under the Affordable Care Act (ACA), providers have to recertify their Medicaid reimbursement eligibility. Because of this provision, more than 65...Read More »

CMS requested input on their potential pediatric alternative payment model...Read More »

HealthGrades, the online healthcare provider rating service, released its widely read list of...Read More »

Radiation oncology services billed to CMS had a 9.6% improper payment rate in 2015, leading to Medicare improperly pay $137 million for these...Read More »

Take a look through this edition of CDI Journal and note how many of CDI programs focused on quality also aim to capture some of the...Read More »

About 41% of CDI programs currently review medical records for quality improvement items, according to an online ACDIS membership poll. Although...Read More »

A number of inpatient prospective payment system changes in recent years, due primarily to the Affordable Care Act, have allowed CMS to adjust...Read More »

by Cheryl Ericson, MS, RN, CCDS, CDIP

You may be wondering why so many CDI departments are expanding their review processes to...Read More »

by Bonnet Tyndall, RN, CCDS

Mortality reviews are becoming more prevalent in the CDI world. But what do they really mean for CDI...Read More »