My favorite part of teaching our Boot Camps are the discussions which take place as we move through the materials. CDI reviews vary from organization to organization...Read More »
CMS had a 71.3% improper payment rate for surgical dressings in 2017, accounting for 0.3% or $126 million of the overall Medicare FFS improper payment rate that year, according a CERT report in...Read More »
Last week, CMS proposed major changes to the FY 2019 Physician Fee Schedule and the Quality Payment Program, some of which could change the E/M documentation requirements.Read More »
Q:We use the pre-bill reconciliation process at the time of coding and are trying to determine the true CDI/coding match rate. If the CDI specialist doesn’t enter the queried diagnosis in their working DRG but the physician...Read More »
The CDI and coding teams should routinely meet to discuss documentation issues, physician/provider challenges, and DRG variations. Many organizations conduct DRG comparisons between the CDI and coding teams. DRG assignment is an excellent area for education for both teams.Read More »
