Quality & Regulatory

CMS’ Recovery Auditors (previously called Recovery Audit Contractors, now associated with the Recovery Audit Program [RAP]), collected nearly $400...Read More »

by Karen Newhouser

There has been much discussion based on what Recovery Audit Contractors (RAC) and other state and federal...Read More »

CMS recently published a draft ICD-10 MS-DRG definitions. According to the website, the definitions are displayed in 'grouper logic order,'...Read More »

MLN Matters article SE1121 emphasizes that coders must consider all documentation from licensed treating physicians and attending...Read More »

The bane of many CDI specialists’ existence is trying to get physicians to buy into good documentation practices. But a recent notice issued by...Read More »

Effective December 15, Trailblazer Health Enterprises, LLC,...Read More »

On December 7, CMS published a final rule in the Federal Register that will give qualified organizations such as employers and consumer...Read More »

Starting in January 2012, facilities could see pre-payment reviews from auditors involved in a new CMS demonstration program,...Read More »

by Linda Renee Brown, RN, MA, CCDS, CCS, CDIP

If you’ve started using your PEPPER to help you identify potential issues at your...Read More »

by Linda Renee Brown, RN, MA, CCDS, CCS, CDIP

In my previous entry, I talked about the PEPPER process and how it can be used to...Read More »