CMS issued new guidance last week aimed at clarifying the so-called “two-midnight rule” finalized in the 2014 IPPS. The rule essentially states that physicians should order an inpatient admission if he/she expects the care...Read More »
Although Recovery Auditors have identified more than a billion dollars in inappropriate payments, CMS needs to do more to improve its oversight of the program, and target potential instances of fraud identified by the program,...Read More »
Inpatient coders are accustomed to assigning a present-on-admission (POA) indicator in ICD-9-CM and they will continue to do so in ICD-10-CM. Although the POA indicators remain the same, ICD-10-CM includes a list of codes that...Read More »
Q:When atelectasis is noted on an ancillary test such as a CT-scan of the abdomen or chest x-ray can nursing documentation of turning, coughing, and deep breathing considered an intervention that qualifies as one of the criteria to meet a secondary diagnosis?...Read More »
Effective January 1, 2014, candidates who apply for the Certified Clinical Documentation Specialist (CCDS) exam must have a minimum of two years of documentation specialist experience in order to qualify. This is a change from current requirements....Read More »
The following ACDIS local chapters will be holding networking meeting throughout Sept., and Oct. For additional information contact the representatives listed or visit the ACDIS website, www.acdis.org, and click on the "Local Chapter" link.Read More »
