Essence Healthcare Inc., a health maintenance organization (HMO) with a Medicare contract based in Missouri and Southern Illinois, submitted incorrect claims for acute stroke and major depressive disorder that did not comply with federal requirements, resulting in $158,000 in overpayments to...Read More »
In a recent blog post, CMS Administrator Seema Verma highlighted progress in reducing provider complaints related to the Medicare RAC program and the associated backlog of...Read More »
It’s a fact often cited by CDI professionals: An accurate and complete medical record can serve several important purposes—from correct coding and billing, to accurate quality measures, to better patient care. Now, hospitals in New York, Illinois, Texas, and California are using patients’...Read More »
Q: Our facility asks CDI specialists to look-back six months in previous records for clinical evidence (such as an ECHO report or ejection fraction) for evidence of heart failure diagnosis. I am concerned about the compliance of this practice...Read More »
ACDIS members are invited to participate in ACDIS’ Quarterly Membership Conference Call on Thursday, May 16. During the call, the ACDIS Advisory Board and members of the ACDIS administration team will discuss the recently released white paper, “CDI...Read More »
The 12th annual ACDIS Conference, May 20-23, 2019, is less than two weeks away. For those who have yet to book a hotel room at the Gaylord Palms Resort & Convention Center in Kissimmee, Florida, please note that the room...Read More »
According to ACDIS’ 2018 CDI Salary Survey, 77.86% of CDI professionals hold an RN credential. This week, May 6-12, we’re celebrating all our ACDIS members and friends who hail from a nursing background. Happy National Nurses Week...Read More »