Cheryl Manchenton, RN, BSN, describes how new regulations and federal and state payment reforms link quality performance to financial incentives and reimbursement. This presentation discusses best practices for CDI to support accurate quality outcomes data, processes for flagging potential or...
Shannon Newell, RHIA, CCS, AHIMA-Approved ICD-10-CM/PCS Trainer, and Richard D. Pinson, MD, FACP, CCS, describe how hospitals get paid for their performance by CMS using outcomes derived from ICD-9-CM (soon to be ICD-10-CM) codes. In the IPPS FY 2014 final rule, CMS refined and further expanded...
Katy Good, RN, BSN, CCDS, CCS, and Benjamin Keeler, RN, BSN, PCCN, MHI, explain how to leverage your CDI program to improve hospital rankings and SOI/ROM; assist in the transition to pay for performance; initiate real-time quality improvement and monitoring; and improve core measure compliance...
The Department of Health and Human Services (HHS) recently released its fiscal year (FY) 2014–2018 strategic plan, which outlines four core goals...Read More »
Not medically and reasonably necessary. Records not submitted. Lack of inpatient admission orders. Information submitted doesn’t support the...Read More »
After a decade of performance-based healthcare payment initiatives, the Department of Health and Human Services decided it was high-time to take...Read More »
